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Organization

ATHENS COUNTY

Active
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Organization

ATHENS COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. WENDY CLINE (ADMINISTRATIVE ASSISTANT)
(740) 592-4431
Entity
Organization

Contact information

Practice address
278 W UNION ST, ATHENS, OH 45701-2310
(740) 592-4431
(740) 594-2370
Mailing address
278 W UNION ST, ATHENS, OH 45701-2310
(740) 592-4431
(740) 594-2370

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
NULL
1223D0001X
Public Health Dentistry
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
NULL

Other

Enumeration date
01/25/2007
Last updated
05/08/2013
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