| K. Pete Czaruk, D.d.s., Inc. | |
|
2066 W Henderson Rd Columbus OH 43220-2452 | |
| (614) 459-3740 | |
| (614) 586-0065 |
| Full Name | K. Pete Czaruk, D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2066 W Henderson Rd, Columbus, Ohio |
| Authorized Official Name and Position | Pamella Collins (DENTAL ASSITANT) |
| Authorized Official Contact | 6144593740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K. Pete Czaruk, D.d.s., Inc. 2066 W Henderson Rd Columbus OH 43220-2452 Ph: (614) 459-3740 | K. Pete Czaruk, D.d.s., Inc. 2066 W Henderson Rd Columbus OH 43220-2452 Ph: (614) 459-3740 |
| NPI Number | 1629390273 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 02/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629390273 | NPI | - | NPPES |
| 0368785 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30015642 (Ohio) | Primary |
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