Organization
BUCKEYE LAKE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLIN J GOLIAN DDS (SOLE MEMBER/OWNER)
(740) 527-8989
Entity
Organization
Contact information
Practice address
5097 WALNUT ROAD, BUCKEYE LAKE, OH 43008
(740) 527-8989
Mailing address
5097 WALNUT RD, BUCKEYE LAKE, OH 43008-7787
(740) 527-8989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
03/13/2025
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