Individual
DR. ALLAN WATTIMENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
305 W 12TH AVE, POSTLE HALL 4133, COLUMBUS, OH 43210-1267
(614) 292-4927
Mailing address
305 W 12TH AVE, POSTLE HALL 4133, COLUMBUS, OH 43210-1267
(614) 292-4927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
RES.3503
OH
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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