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Organization

JEFFREY L. WILDEN D.D.S.,INC.

Active
Other names
franklinton dental group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY L WILDEN D.D.S. (OFFICER)
(614) 351-0555
Entity
Organization

Contact information

Practice address
1531 W BROAD ST, COLUMBUS, OH 43222-1043
(614) 351-0555
(614) 351-0763
Mailing address
1531 W BROAD ST, COLUMBUS, OH 43222-1043
(614) 351-0555
(614) 351-0763

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1223G0001X
General Practice Dentistry
19204
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2272777
OH
Enumeration date
01/31/2007
Last updated
07/08/2011
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