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Organization

OHIO COSMETIC DENTISTS, LLC

Active
Other names
Ohio Cosmetic Dentists
Organization subpart
No

Provider details

NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization

Contact information

Practice address
1010 BETHEL RD, COLUMBUS, OH 43214-1908
(614) 459-7300
Mailing address
1010 BETHEL RD, COLUMBUS, OH 43214-1908

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/30/2025
Last updated
07/30/2025
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