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Organization
NISONGER DENTAL PROGRAM AT JOHNSTOWN ROAD
Active
Organization
NISONGER DENTAL PROGRAM AT JOHNSTOWN ROAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO SOLIS DDS (CLINIC DIRECTOR)
(614) 342-5795
Entity
Organization
Contact information
Practice address
2879 JOHNSTOWN RD, COLUMBUS, OH 43219-1719
(614) 342-5795
(614) 342-5804
Mailing address
2879 JOHNSTOWN RD, COLUMBUS, OH 43219-1719
(614) 342-5795
(614) 342-5804
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
71000178
OH
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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