Individual
JANINE MATOS CHEVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-5399
Mailing address
305 W. 12TH AVE., 3059 POSTLE HALL, COLUMBUS, OH 43210-4026
(614) 292-3596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2951000782
MI
1223E0200X
Endodontics
Primary
30.026092
OH
Other
Enumeration date
06/28/2019
Last updated
07/30/2020
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