Individual
MITCHELL THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-4468
Mailing address
6153 GLENWORTH CT, GALLOWAY, OH 43119-8559
(614) 975-5405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RES.004822
OH
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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