Organization
KIDSMILES PEDIATRIC DENTAL CLINIC
Active
Other names
KidSMILES Pediatric Dental Clinic, James A. Homon Prof. Assoc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA NICOLE ZUBER (EXECUTIVE DIRECTOR)
(614) 458-1711
Entity
Organization
Contact information
Practice address
770 BETHEL RD, COLUMBUS, OH 43214-1900
(614) 458-1711
(614) 458-1713
Mailing address
770 BETHEL RD, COLUMBUS, OH 43214-1900
(614) 458-1711
(614) 458-1713
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
03/05/2019
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