# OHIO CENTER OF COSMETIC & LASER SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740386424
- **Authorized official:** DAVID T RYU MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (937) 592-3277

## Contact information

- **Practice address:** 921 E SANDUSKY AVE, BELLEFONTAINE, OH 43311
- **Practice address phone:** (937) 592-3277
- **Practice address fax:** (937) 592-3753
- **Mailing address:** PO BOX 2910, SPRINGFIELD, OH 45501
- **Mailing address phone:** (937) 390-3277
- **Mailing address fax:** (937) 390-1330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 311 | OH | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 07/22/2008