Ohio Dental Professionals, Delisle, PC
NPI #1992197883 in Reynoldsburg, Ohio
Provider Information
- NPI Number
- 1992197883
- Entity Type
- Organization
- Organization Name
- Ohio Dental Professionals, Delisle, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OHIO DENTAL PROFESSIONALS, DELISLE, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 2, 2015
- Last Updated
- Mar 4, 2015
Practice Location
- Address
- 8086 E BROAD ST
- City
- Reynoldsburg
- State
- Ohio
- ZIP Code
- 43068
- Phone
- (614) 328-9661
Authorized Official
- Name
- KENDRA WALKER
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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