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Organization
DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS
Active
Organization
DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M MYERS (DIRECTOR)
(614) 292-1472
Entity
Organization
Contact information
Practice address
305 W 12TH AVE, POSTLE HALL ROOM 4015, COLUMBUS, OH 43210-1267
(614) 292-1472
(614) 688-3553
Mailing address
305 W 12TH AVE, POSTLE HALL ROOM 4015, COLUMBUS, OH 43210-1267
(614) 292-1472
(614) 688-3553
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
71.000244
OH
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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