Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 13775 | OH |
NPI | 1003816109 |
---|---|
Provider Name | Harold Lloyd Voss |
First Address | Columbus, OH 43220-3702 |
Second Address | Columbus, OH 43220-3702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 08/07/2007 |