Individual
FABIOLA CASANOVA CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-7473
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RES.004158
OH
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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