Organization
TAM N ISSA-ABBAS LLC
Active
Other names
CAPITAL CITY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAM NGOC ISSA-ABBAS D.D.S. (PRESIDENT/OWNER)
(614) 537-5061
Entity
Organization
Contact information
Practice address
79 THURMAN AVE, COLUMBUS, OH 43206-2685
(614) 443-4625
(614) 443-6558
Mailing address
79 THURMAN AVE, COLUMBUS, OH 43206-2685
(614) 443-4625
(614) 443-6558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30023476
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082242
—
OH
Enumeration date
03/28/2014
Last updated
03/28/2014
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