Organization
OLLOM DDS DELAWARE LLC
Active
Other names
Pure Smiles Delaware
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE ANN CAMPBELL (DIRECTOR OF OPERATIONS)
(567) 940-8141
Entity
Organization
Contact information
Practice address
833 W WILLIAM ST, DELAWARE, OH 43015-3754
(740) 362-1591
(740) 363-0061
Mailing address
2115 ALLENTOWN RD STE C, LIMA, OH 45805-1749
(419) 228-4036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
10/20/2021
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