Individual
DR. ANTONIO LEE PICCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 S HIGH ST, COLUMBUS, OH 43206-3400
(614) 258-3880
Mailing address
6790 PERIMETER DR, SUITE 100, DUBLIN, OH 43016-8063
(614) 717-3500
(614) 717-0933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023063
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2982858
—
OH
Enumeration date
07/06/2009
Last updated
12/27/2012
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