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Organization
WEST BROAD DENTAL, SEAN R BATES DDS, INC
Active
Organization
WEST BROAD DENTAL, SEAN R BATES DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN R BATES DDS (OWNER/ DENTIST)
(614) 870-8474
Entity
Organization
Contact information
Practice address
5212 W BROAD ST, COLUMBUS, OH 43228-1642
(614) 870-8474
(614) 870-8475
Mailing address
5212 W BROAD ST, COLUMBUS, OH 43228-1642
(614) 870-8474
(614) 870-8475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22264
OH
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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