Organization
NORTHLAND DENTAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMAR M REDDY (OFFICE MGR)
(614) 268-2237
Entity
Organization
Contact information
Practice address
4574 MORSE CENTRE RD, COLUMBUS, OH 43229-6602
(614) 436-3296
Mailing address
3783 N HIGH ST, COLUMBUS, OH 43214-3526
(614) 268-2237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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