Organization
CAPITOL SQUARE DENTAL OF COLUMBUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRDAD SAFAVIAN DDS (OWNER DENTIST)
(614) 789-9000
Entity
Organization
Contact information
Practice address
212 S HIGH ST, COLUMBUS, OH 43215-4502
(614) 461-4600
(614) 789-9012
Mailing address
6748 BALLANTRAE PL, DUBLIN, OH 43016-6024
(614) 461-4600
(614) 789-9012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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