Organization
GERMAN VILLAGE DENTAL GROUP, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURY J. DIMICHAELANGELO (OWNER)
(614) 806-2201
Entity
Organization
Contact information
Practice address
1084 S HIGH ST, COLUMBUS, OH 43206-3409
(614) 444-0471
(614) 444-1091
Mailing address
3974 KARL RD, COLUMBUS, OH 43224-5221
(614) 267-5000
(614) 267-0541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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