Organization
WESTERVILLE ORTHODONTICS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY NARDEA D.D.S. (MANAGING MEMBER)
(732) 859-3353
Entity
Organization
Contact information
Practice address
829 EASTWIND DR, #829, WESTERVILLE, OH 43081-3303
(800) 560-1165
Mailing address
12 ALVORD ST, OAKHURST, NJ 07755-1152
(732) 859-3353
(732) 222-1149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023649
OH
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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