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6100 E Main St Suite 100 Columbus OH 43213-3399 | |
| (614) 759-1800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6100 E Main St, Columbus, Ohio |
| Authorized Official Name and Position | John Clarke Sanders (OWNER) |
| Authorized Official Contact | 6147591800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6100 E Main St Suite 100 Columbus OH 43213-3399 Ph: (614) 759-1800 | 6100 E Main St Suite 100 Columbus OH 43213-3399 Ph: (614) 759-1800 |
| NPI Number | 1215163423 |
|---|---|
| Provider Enumeration Date | 06/02/2009 |
| Last Update Date | 06/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215163423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30017563 (Ohio) | Primary |
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