| Blacklick Family Dental, Inc | |
|
6911 E Broad St Columbus OH 43213-1518 | |
| (614) 864-4800 | |
| Not Available |
| Full Name | Blacklick Family Dental, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6911 E Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Liljana Petrova (PRESIDENT) |
| Authorized Official Contact | 6148644800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blacklick Family Dental, Inc 6911 E Broad St Columbus OH 43213-1518 Ph: (614) 864-4800 | Blacklick Family Dental, Inc 6911 E Broad St Columbus OH 43213-1518 Ph: (614) 864-4800 |
| NPI Number | 1124244413 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124244413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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