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Organization

EAST COLUMBUS ORAL SURGERY SPECIALISTS INC.

Active
Other names
East Columbus Oral Surgery Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS VON KAENEL D.D.S. (OWNER / SURGEON)
(614) 427-0400
Entity
Organization

Contact information

Practice address
6555 E BROAD ST., COLUMBUS, OH 43213
(614) 427-0400
(614) 427-0735
Mailing address
6555 E BROAD ST., COLUMBUS, OH 43213
(614) 427-0400

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
30022741
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
30023253
OH

Other

Enumeration date
04/18/2016
Last updated
04/18/2016
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