Organization
GROVE CITY PEDIATRIC DENTISTRY
Active
Other names
The Grove Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE BEULKE DDS (OWNER/MEMBER)
(402) 968-2007
Entity
Organization
Contact information
Practice address
5775 HOOVER RD STE B, GROVE CITY, OH 43123-7693
(614) 350-5005
(614) 350-5070
Mailing address
40 W SHORT ST, WORTHINGTON, OH 43085-3561
(402) 968-2007
(614) 459-0883
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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