Provider First Line Business Practice Location Address:
305 W 12TH AVE, THE OHIO STATE UNIVERSITY
Provider Second Line Business Practice Location Address:
COLLEGE OF DENTISTRY, 4133 POSTLE HALL
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43210-1267
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-292-1421
Provider Business Practice Location Address Fax Number:
614-688-5470
Provider Enumeration Date:
04/25/2017