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Organization
OHIO CENTER OF COSMETIC & LASER SURGERY
Active
Organization
OHIO CENTER OF COSMETIC & LASER SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T RYU MD (MEDICAL DIRECTOR)
(937) 592-3277
Entity
Organization
Contact information
Practice address
921 E SANDUSKY AVE, BELLEFONTAINE, OH 43311
(937) 592-3277
(937) 592-3753
Mailing address
PO BOX 2910, SPRINGFIELD, OH 45501
(937) 390-3277
(937) 390-1330
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
311
OH
Other
Enumeration date
09/16/2006
Last updated
07/22/2008
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