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Individual

DR. SAMANTHA SIEBENECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1180 E MAIN ST, COLUMBUS, OH 43205-1902
(614) 645-5535
Mailing address
3433 AGLER RD STE 2800, COLUMBUS, OH 43219-3389
(614) 859-1906
(614) 645-5517

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023572
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0054364
OH
Enumeration date
09/14/2011
Last updated
08/26/2025
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