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Individual

DR. NATALIE M ALSUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
RES.3401
OH
1223D0004X
Dental Anesthesiology
Primary
32285
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
364079901
TX
Enumeration date
06/03/2014
Last updated
01/03/2017
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