Individual
DR. ANDREW B WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
5249 W BROAD ST, COLUMBUS, OH 43228-5606
(614) 878-7887
(614) 878-4134
Mailing address
5249 W BROAD ST, COLUMBUS, OH 43228-5606
(614) 878-7887
(614) 878-4134
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20722
OH
Other
Enumeration date
06/25/2007
Last updated
07/18/2007
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