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Individual

ANGELA MARIE GUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
375 N FRONT ST STE 150, COLUMBUS, OH 43215-2299
(614) 222-1863
Mailing address
375 N FRONT ST STE 150, COLUMBUS, OH 43215-2299
(614) 222-1863

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
051497
NY
1223G0001X
General Practice Dentistry
Primary
30-022262
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2630693
OH
01
9181708
DORAL
OH
Enumeration date
05/08/2006
Last updated
05/12/2025
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