| College Of Dentistry | |
|
305 W 12th Ave Columbus OH 43210-1267 | |
| (614) 292-2212 | |
| Not Available |
| Full Name | College Of Dentistry |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 305 W 12th Ave, Columbus, Ohio |
| Authorized Official Name and Position | Natasha Furchtgott (TEACHING INTERN) |
| Authorized Official Contact | 6144409980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| College Of Dentistry 2966 Neil Ave Apt 201a Columbus OH 43202-2027 Ph: (614) 440-9980 | College Of Dentistry 305 W 12th Ave Columbus OH 43210-1267 Ph: (614) 292-2212 |
| NPI Number | 1699930107 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699930107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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