Blue Jackets Braces | |
1175 Columbus Pike Delaware OH 43015-2713 | |
(740) 293-0178 | |
Not Available |
Full Name | Blue Jackets Braces |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1175 Columbus Pike, Delaware, Ohio |
Authorized Official Name and Position | Brian Dean (ADMINISTRATOR) |
Authorized Official Contact | 6147065206 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Jackets Braces 1175 Columbus Pike Delaware OH 43015-2713 Ph: () - | Blue Jackets Braces 1175 Columbus Pike Delaware OH 43015-2713 Ph: (740) 293-0178 |
NPI Number | 1972060408 |
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Provider Enumeration Date | 02/20/2019 |
Last Update Date | 02/20/2019 |
Identifier | Type | State | Issuer |
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1972060408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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