Organization
BETHEL PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE BEULKE DDS (OWNER/MEMBER)
(402) 968-2007
Entity
Organization
Contact information
Practice address
4945 OLENTANGY RIVER RD, COLUMBUS, OH 43214-1926
(614) 459-0011
(614) 459-0883
Mailing address
4945 OLENTANGY RIVER RD, COLUMBUS, OH 43214-1926
(614) 459-0011
(614) 459-0883
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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