Upper Arlington - Bryan Basom DDS LLC

NPI #1013427921 in Columbus, Ohio

Provider Information

NPI Number: 1013427921
Entity Type: Organization
Organization Name: Upper Arlington - Bryan Basom DDS LLC
Primary Specialty: Dentist
Enumeration Date: Oct 5, 2017
Last Updated: Jun 16, 2018

Practice Location

Address: 1840 ZOLLINGER RD
City: Columbus
State: Ohio
ZIP Code: 43221-2850
Phone: (614) 457-3927

Authorized Official

Name: DR. BRYAN BASOM, DDS
Title: OWNER
Phone: (614) 406-7187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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