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COLUMBUS, OH
NPI1902865173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OH  30021454)
Enumeration Date2006-03-17
Last Update Date2012-12-27
Business Address
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1570 CLEVELAND AVE
COLUMBUS, OH 43211-2755
Phone number: 614-258-3880
Mailing Address
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4452 GARY WAY
HILLIARD, OH 43026
Phone number: 614-777-4470