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Individual

DR. ANDREA G. FERREIRA ZANDONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
OHIO STATE DENTAL FACILITY PRACTICE, 305 W. 12TH AVE., ROOM 2301, COLUMBUS, OH 43210-1267
(614) 292-1472
(614) 688-3553
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1472
(614) 688-3553

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2000025400379
NC
122300000X
Dentist
DF11903
MA
1223G0001X
General Practice Dentistry
Primary
71.000282
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568743839
NC
Enumeration date
08/31/2011
Last updated
12/01/2023
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