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Organization
UNIQUE SOLUTIONS MANAGEMENT COMPANY LLC
Active
Organization
UNIQUE SOLUTIONS MANAGEMENT COMPANY LLC
Active
Other names
Klermont 4 Kids & Adults 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RUDOLPH FRY JR. MBA (BUSINESS MANAGER)
(513) 735-9111
Entity
Organization
Contact information
Practice address
6850 LOOP RD, CENTERVILLE, OH 45459-2159
(937) 439-9366
(937) 439-6687
Mailing address
6850 LOOP RD, CENTERVILLE, OH 45459-2159
(937) 439-9366
(937) 439-6687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3001796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
OH
05
—
0263610
—
OH
05
—
2554267
—
OH
Enumeration date
03/22/2007
Last updated
08/22/2020
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