Organization
KENNY ROAD FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E GARRISON (OWNER)
(614) 451-2727
Entity
Organization
Contact information
Practice address
4589 KENNY RD, SUITE 201, COLUMBUS, OH 43220-2770
(614) 451-2727
(614) 451-8177
Mailing address
4589 KENNY ROAD, SUITE 201, COLUMBUS, OH 43220
(614) 451-2727
(614) 451-8177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30016420
OH
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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