Individual
DR. BRIAN MICHAEL ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-2751
Mailing address
720 W 3RD AVE APT 415, COLUMBUS, OH 43212-3169
(586) 770-8960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020919
MI
122300000X
Dentist
Primary
RES.3308
OH
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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