Individual
DR. KELLY LYNN PODLOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
THE OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY, 305 W. 12TH AVE., COLUMBUS, OH 43210
(614) 292-1421
Mailing address
1503 ASCHINGER BLVD, COLUMBUS, OH 43212-2671
(614) 315-7454
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2630
OH
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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