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770 Bethel Rd Columbus OH 43214-1900 | |
| (614) 458-1711 | |
| (614) 458-1713 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 770 Bethel Rd, Columbus, Ohio |
| Authorized Official Name and Position | Laura Nicole Zuber (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6144581711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
770 Bethel Rd Columbus OH 43214-1900 Ph: (614) 458-1711 | 770 Bethel Rd Columbus OH 43214-1900 Ph: (614) 458-1711 |
| NPI Number | 1376000224 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 03/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376000224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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