Organization
NORTH ORANGE SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK MINNILLO DDS (DENTIST/PARTNER)
(614) 507-7339
Entity
Organization
Contact information
Practice address
7420 GOODING BLVD STE 200, DELAWARE, OH 43015-7086
(614) 507-7339
Mailing address
10576 ASH GROVE CT, PLAIN CITY, OH 43064-3519
(614) 507-7339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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