Individual
ALICIA JADE VAN DRUNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2610 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43231-4000
(614) 794-7480
Mailing address
8947 TAMARACK DR, SHELBY TWP, MI 48317-1483
(586) 246-9045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027252
OH
Other
Enumeration date
05/09/2023
Last updated
12/04/2023
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