Buckeye Lake Dental Llc | |
5097 Walnut Road Buckeye Lake OH 43008 | |
(740) 527-3952 | |
Not Available |
Full Name | Buckeye Lake Dental Llc |
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Speciality | Dentist - General Practice |
Location | 5097 Walnut Road, Buckeye Lake, Ohio |
Authorized Official Name and Position | Colin J Golian (SOLE MEMBER/OWNER) |
Authorized Official Contact | 6147465884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Buckeye Lake Dental Llc Po Box 221 New Albany OH 43054-0221 Ph: (740) 527-3952 | Buckeye Lake Dental Llc 5097 Walnut Road Buckeye Lake OH 43008 Ph: (740) 527-3952 |
NPI Number | 1891525663 |
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Provider Enumeration Date | 08/06/2024 |
Last Update Date | 08/06/2024 |
Identifier | Type | State | Issuer |
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1891525663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |