Organization
EASTSIDE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B BANCHEFSKY D.D.S. (DENTIST OWNER)
(614) 759-1800
Entity
Organization
Contact information
Practice address
6100 E MAIN ST, SUITE 100, COLUMBUS, OH 43213-3399
(614) 759-1800
(614) 759-1899
Mailing address
6100 E MAIN ST, SUITE 100, COLUMBUS, OH 43213-3399
(614) 759-1800
(614) 759-1899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17299
OH
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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