Provider First Line Business Practice Location Address:
305 W 12TH AVE
Provider Second Line Business Practice Location Address:
STANLEY G. VERMILYEA, DMD, MS, DENTAL FACULTY PRACTICE
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:
614-292-1472
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2007