Provider First Line Business Practice Location Address:
305 W12TH AVE. POSTLE HALL
Provider Second Line Business Practice Location Address:
THE OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-247-6818
Provider Business Practice Location Address Fax Number:
614-292-9422
Provider Enumeration Date:
10/15/2010