Organization
OLLOM DENTAL GROUP, LLC
Active
Other names
Pure Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD OLLOM DDS (OWNER)
(614) 572-5600
Entity
Organization
Contact information
Practice address
1245 S SUNBURY RD STE 201, WESTERVILLE, OH 43081-9444
(614) 392-8090
Mailing address
7477 RATCHFORD CT, NEW ALBANY, OH 43054-8970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/16/2019
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