institution
Elemental Dental - Sonya R. Moesle Dds, Llc
Dental Clinic/Center in Pataskala, Ohio
NPI 1700576113

Elemental Dental - Sonya R. Moesle Dds, Llc is a Dental Clinic/Center based in Pataskala, OH and is specialized in Dental. Elemental Dental - Sonya R. Moesle Dds, Llc practices in Pataskala, OH. The NPI Number for Elemental Dental - Sonya R. Moesle Dds, Llc is 1700576113 and holds a License No. (Ohio).

The current practice location address for Elemental Dental - Sonya R. Moesle Dds, Llc is 686 Corylus Dr, Pataskala, OH and can be reached out via phone at 740-964-3500 and via fax at 740-964-3502.

Location: 686 Corylus Dr, Pataskala, OH, 43062-7628
institution
Provider Profile Details
NPI Number
1700576113
Provider Name
Elemental Dental - Sonya R. Moesle Dds, Llc
Credential
Provider Entity Type
Organization
Address
686 Corylus Dr, Pataskala, OH, 43062-7628
Phone Number
740-964-3500
Fax Number
740-964-3502
Provider Enumeration Date
05/09/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689975005 01 INDIVIDUAL NPI
30.020362 01 OH OHIO DENTAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
686 Corylus Dr
City
State
Zip
43062-7628
Phone Number
740-964-3500
Fax Number
740-964-3502
person
Provider Business Mailing Address Details
Address
686 Corylus Dr
City
State
Zip
43062-7628
Phone Number
740-964-3500
Fax Number
740-964-3502
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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