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Organization
ALPHA DENTAL
Active
Organization
ALPHA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MING SHENG YU DDS (OWNER)
(567) 224-8754
Entity
Organization
Contact information
Practice address
12906 STATE ROUTE 664 S, SUITE A7, LOGAN, OH 43138-9260
(567) 224-8745
Mailing address
12906 STATE ROUTE 664 S, SUITE A7, LOGAN, OH 43138-9260
(567) 224-8745
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
OH
Other
Enumeration date
09/20/2010
Last updated
11/22/2010
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