| NPI | 1790593010 |
|---|---|
| Doing Business As | COLUMBUS PERIODONTICS & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | CASEY CASTLE Director Of Payor Contracting 912-732-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |