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3974 Karl Rd Columbus OH 43224-5221 | |
| (614) 267-5000 | |
| (614) 267-0541 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3974 Karl Rd, Columbus, Ohio |
| Authorized Official Name and Position | Laury D Dimichaelangelo (PRESIDENT DENTIST) |
| Authorized Official Contact | 6142675000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3974 Karl Rd Columbus OH 43224-5221 Ph: (614) 267-5000 | 3974 Karl Rd Columbus OH 43224-5221 Ph: (614) 267-5000 |
| NPI Number | 1295713915 |
|---|---|
| Provider Enumeration Date | 01/03/2006 |
| Last Update Date | 02/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295713915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18047 (Ohio) | Primary |
| 122300000X | Dentist | 20286 (Ohio) | Secondary |
| 122300000X | Dentist | 21189 (Ohio) | Secondary |
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