Organization
FIXARI CHILDRENS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F FIXARI DDS (PRESIDENT)
(614) 866-7445
Entity
Organization
Contact information
Practice address
4241 KIMBERLY PKWY, COLUMBUS, OH 43232-7225
(614) 866-7445
Mailing address
4241 KIMBERLY PKWY, COLUMBUS, OH 43232-7225
(614) 866-7445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18642
DENTAL LICENSE
OH
Enumeration date
11/16/2015
Last updated
11/16/2015
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