Individual
DANIEL ALBERTO CORTES TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1472
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1472
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
71.000259
OH
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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