Organization
WORTHINGTON HILLS DENTAL BRYAN BASOM DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN BASOM DDS (PRESIDENT)
(740) 775-8050
Entity
Organization
Contact information
Practice address
7870 OLENTANGY RIVER RD STE 205, COLUMBUS, OH 43235-1319
(740) 775-8050
(740) 775-8053
Mailing address
7870 OLENTANGY RIVER RD STE 205, COLUMBUS, OH 43235-1319
(740) 775-8050
(740) 775-8053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30022613
OH
Other
Enumeration date
07/16/2013
Last updated
03/07/2023
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