Primesource Healthcare Of Ohio, Inc.

NPI 1033245824 - Dentist - 122300000X

NPI Details
NPI 1033245824
Enumeration Date 02/26/2007
Last Updated 10/11/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID DAVID
Position PRESIDENT & CEO
Phone (800) 317-0711
Fax (847) 267-9440
Practice Location
4449 EASTON WAY
FLOOR 2
COLUMBUS OH, 43219-6093, US
Phone (800) 317-0711
Fax (847) 267-9440
Business Location
2100 EAST LAKE COOK ROAD
SUITE 1100
BUFFALO GROVE IL, 60089-1815, US
Phone (847) 267-8200
Fax (877) 821-6402
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Primesource Healthcare Of Ohio, Inc. NPI is 1033245824, taxonomy code is 122300000X Primesource Healthcare Of Ohio, Inc. physically located at 4449 Easton Way, Columbus OH, 43219-6093. NPI Number 1033115704 has the healthcare provider type.

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1033245824 NPI number is provided on an as is basis without warranty of any kind. 1033245824 is maintained by the National Plan & Provider Enumeration System. The contents of Primesource Healthcare Of Ohio, Inc. are for informational purposes only.