Individual
MAX AUSTIN GROSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
30-023736
OH
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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