# JAN S LABEDA D.D.S., INC

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

## Provider details

- **NPI number:** 1205959798
- **Authorized official:** JAN STEFAN LABEDA (PRESIDENT)
- **Authorized official phone:** (513) 732-6660

## Contact information

- **Practice address:** 4553 ELMONT DR, CINCINNATI, OH 45245-1008
- **Practice address phone:** (513) 528-9553
- **Mailing address:** 4553 ELMONT DR, CINCINNATI, OH 45245-1008
- **Mailing address phone:** (513) 528-9553

## Taxonomy

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

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 08/22/2020