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Organization

OHIO DENTAL PROFESSIONALS, DELISLE, P.C.

Active
Parent organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Other names
Blank Dental Group - Columbus
Organization subpart
Yes

Provider details

NPI number
Legal business name
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization

Contact information

Practice address
1271 E BROAD ST, COLUMBUS, OH 43205-1429
(614) 252-4444
Mailing address
1271 E BROAD ST, COLUMBUS, OH 43205-1429

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/21/2023
Last updated
02/21/2023
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