Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 30.025374 | OH |
NPI | 1083111447 |
---|---|
Provider Name | Dr. Joseph Craig Charnas |
First Address | Columbus, OH 43210-1267 |
Second Address | Columbus, OH 43210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2018 |
Last Update Date | 15/07/2019 |