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Organization

THE OHIO STATE UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YUN WANG (ASSISTANT PROFESSOR)
(614) 292-8467
Entity
Organization

Contact information

Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1472
Mailing address
305 W. 12TH AVE, 4109 POSTLE HALL, COLUMBUS, OH 43210
(614) 292-8467

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
71000244
OH

Other

Enumeration date
12/31/2015
Last updated
12/31/2015
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