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Organization
EAST COLUMBUS ORAL SURGERY SPECIALISTS INC.
Active
Organization
EAST COLUMBUS ORAL SURGERY SPECIALISTS INC.
Active
Other names
East Columbus Oral Surgery Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS VON KAENEL D.D.S. (OWNER / SURGEON)
(614) 427-0400
Entity
Organization
Contact information
Practice address
6555 E BROAD ST., COLUMBUS, OH 43213
(614) 427-0400
(614) 427-0735
Mailing address
6555 E BROAD ST., COLUMBUS, OH 43213
(614) 427-0400
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
30022741
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
30023253
OH
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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