Organization
OLLOM DDS PATASKALA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE CAMPBELL (DIRECTOR OF OPERATIONS)
(567) 940-8141
Entity
Organization
Contact information
Practice address
186 E BROAD ST, PATASKALA, OH 43062-8527
(740) 739-4111
(740) 739-4007
Mailing address
186 E BROAD ST, PATASKALA, OH 43062-8527
(740) 739-4111
(740) 739-4007
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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