Individual
MR. BRENT C AUGUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1270 UPPER VALLEY PIKE, SPRINGFIELD, OH 45504-4020
(937) 525-0500
Mailing address
2620 QUARRY LAKE DR, COLUMBUS, OH 43204-4951
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30023004
OH
Other
Enumeration date
02/13/2009
Last updated
09/22/2010
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