Individual
ANNIE COURTEMANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6499 E BROAD ST STE 110, COLUMBUS, OH 43213-6506
(614) 868-9804
Mailing address
6499 E BROAD ST STE 110, COLUMBUS, OH 43213-6506
(614) 868-9804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025448
OH
Other
Enumeration date
05/29/2018
Last updated
10/09/2020
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