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1 E Campus View Blvd Columbus OH 43235-5691 | |
| (614) 848-5001 | |
| (614) 848-5003 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1 E Campus View Blvd, Columbus, Ohio |
| Authorized Official Name and Position | Farzad Michael Firouzian (DENTIST) |
| Authorized Official Contact | 6148485001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1 East Campus View Blvd Columbus OH 43235 Ph: (614) 848-5001 | 1 E Campus View Blvd Columbus OH 43235-5691 Ph: (614) 848-5001 |
| NPI Number | 1386731305 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 10/11/2018 |
| Medicare PECOS PAC ID | 7416204573 |
|---|---|
| Medicare Enrollment ID | O20180719002932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386731305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19415 (Ohio) | Primary |
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