NPI | 1831543701 |
---|---|
Doing Business As | EAST COLUMBUS ORAL SURGERY SPECIALISTS |
Entity Type | Organization |
Authorized Contact | DOUGLAS VON KAENEL Owner / Surgeon 614-427-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: OH 30022741) |
Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: OH 30023253) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2016-04-18 |