Organization
MATTHEW PINGEL DMD LLC
Active
Other names
Granville Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERI JOLLY (CONSULTANT)
(614) 915-5780
Entity
Organization
Contact information
Practice address
1967 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-9172
(614) 915-5780
(866) 283-8621
Mailing address
1967 NEWARK GRANVILLE RD, GRANVILLE, OH 43023-9172
(614) 915-5780
(866) 283-8621
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21882
OH
Other
Enumeration date
05/31/2015
Last updated
05/31/2015
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