Organization
IRFAN AZIZ KHAN INC
Active
Other names
Grandview yard Polaris Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BOWERSOCK (TREATMENT COORDINATOR)
(614) 505-7027
Entity
Organization
Contact information
Practice address
885 W 3RD AVE, COLUMBUS, OH 43212-3106
(614) 505-7027
Mailing address
885 W 3RD AVE, COLUMBUS, OH 43212-3106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022887
OH
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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