Individual
DR. NICOLAS ROBITAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-2401
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-2401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17210
ZZ
Other
Enumeration date
02/17/2013
Last updated
02/17/2013
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