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Organization

SCARLET DENTAL KATIE VINCER SEARS DDS OF PICKERINGTON INC

Active
Other names
Sc
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGEL RENEE BRADSHAW (DIRECTOR OF OPERATIONS)
(330) 469-0487
Entity
Organization

Contact information

Practice address
107 W COLUMBUS ST, PICKERINGTON, OH 43147-1257
(614) 829-7703
(614) 829-7811
Mailing address
107 W COLUMBUS ST, PICKERINGTON, OH 43147
(614) 829-7703
(614) 829-7811

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.022821
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095268
OH
Enumeration date
04/11/2018
Last updated
04/11/2018
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