Organization
FAST BRACES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERYL WEPRIN RNMSN (CEO)
(937) 902-8542
Entity
Organization
Contact information
Practice address
4110 BUCKEYE PKWY, GROVE CITY, OH 43123-8175
(614) 871-0800
Mailing address
305 S HAMILTON RD, GAHANNA, OH 43230-3349
(614) 478-4500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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