Canal Family Dentistry, Inc | |
31 E Waterloo St Canal Winchester OH 43110-2101 | |
(614) 837-4113 | |
(614) 837-5470 |
Full Name | Canal Family Dentistry, Inc |
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Speciality | Dentist - General Practice |
Location | 31 E Waterloo St, Canal Winchester, Ohio |
Authorized Official Name and Position | David Jon Grammel (OWNER) |
Authorized Official Contact | 16148374113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Canal Family Dentistry, Inc 31 E Waterloo St Canal Winchester OH 43110-2101 Ph: (614) 837-4113 | Canal Family Dentistry, Inc 31 E Waterloo St Canal Winchester OH 43110-2101 Ph: (614) 837-4113 |
NPI Number | 1538208079 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1538208079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19661 (Ohio) | Primary |
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