# LIMAZWICK - BELLEFONTAINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Logan Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003453432
- **Authorized official:** STEPHANIE L HUFFMAN (OFFICE MANAGER)
- **Authorized official phone:** (937) 292-7828

## Contact information

- **Practice address:** 1021 N MAIN ST, BELLEFONTAINE, OH 43311-2359
- **Practice address phone:** (937) 292-7828
- **Practice address fax:** (937) 292-7916
- **Mailing address:** 1021 N MAIN ST, BELLEFONTAINE, OH 43311-2359
- **Mailing address phone:** (937) 292-7828
- **Mailing address fax:** (937) 292-7916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 12/16/2019