Individual
DR. DALE STANLEY KANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
1223G0001X
General Practice Dentistry
Primary
30-018238
OH
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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