Individual
KATHRYN GRUNENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
380 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-7508
(614) 722-5650
Mailing address
380 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-7508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.027352
OH
1223P0221X
Pediatric Dentistry
Primary
30.027352
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007247
—
OH
Enumeration date
02/16/2022
Last updated
10/10/2023
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