Individual
JUDY MINISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 OAKLAND PARK AVE, COLUMBUS, OH 43214-4122
(334) 362-5041
Mailing address
170 OAKLAND PARK AVE, COLUMBUS, OH 43214-4122
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279078369
279078369
—
Enumeration date
10/11/2021
Last updated
10/11/2021
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