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Organization

COLLEGE OF DENTISTRY

Active
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Organization

COLLEGE OF DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATASHA FURCHTGOTT D.D.S (TEACHING INTERN)
(614) 440-9980
Entity
Organization

Contact information

Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-2212
Mailing address
2966 NEIL AVE APT 201A, COLUMBUS, OH 43202-2027
(614) 440-9980

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—

Other

Enumeration date
07/23/2008
Last updated
07/23/2008
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