Organization
REYNOLDSBURG DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAGHU REDDY (OWNER)
(614) 535-8271
Entity
Organization
Contact information
Practice address
5303 E LIVINGSTON AVE, COLUMBUS, OH 43232-2864
(614) 866-8111
Mailing address
5303 E LIVINGSTON AVE, COLUMBUS, OH 43232-2864
(614) 866-8111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12345
OH
Other
Enumeration date
03/01/2014
Last updated
03/01/2014
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