Organization
GATEWAY DENTAL CENTER DR. WESLEY B ROSENTHAL AND ASSOCIATES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELLE REES (ADMINISTRATOR)
(614) 222-4262
Entity
Organization
Contact information
Practice address
112 JEFFERSON AVE, SUITE 002, COLUMBUS, OH 43215-1861
(614) 222-4262
Mailing address
112 JEFFERSON AVENUE, SUITE 002, COLUMBUS, OH 43215
(614) 222-4262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30012752
OH
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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