Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 00725202 | ZZ |
NPI | 1164732871 |
---|---|
Provider Name | Burak Yilmaz |
First Address | Columbus, OH 43204 |
Second Address | Columbus, OH 43210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2010 |
Last Update Date | 15/10/2010 |