Organization
ALPHA DENTAL-BROAD-MING YU D.D.S.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DOTSON (CREDENTAILING MANAGER)
(614) 853-3232
Entity
Organization
Contact information
Practice address
4770 W BROAD ST, COLUMBUS, OH 43228-1613
(614) 853-3232
(614) 853-1313
Mailing address
4770 W BROAD ST, COLUMBUS, OH 43228-1613
(614) 853-3232
(614) 853-1313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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