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Organization
GREATER COLUMBUS PERIODONTICS, LLC, RYAN J. SERRA, DMD, MS
Active
Organization
GREATER COLUMBUS PERIODONTICS, LLC, RYAN J. SERRA, DMD, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN SERRA D.M.D., M.S. (MEMBER)
(614) 451-1122
Entity
Organization
Contact information
Practice address
1914 BETHEL RD, COLUMBUS, OH 43220-1802
(614) 451-1122
Mailing address
1914 BETHEL RD, COLUMBUS, OH 43220-1802
(614) 451-1122
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
014666
OH
1223P0300X
Periodontics
Primary
023093
OH
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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