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Organization
CINCINNATI DENTAL GROUP LLC
Active
Organization
CINCINNATI DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (COO)
(440) 823-6790
Entity
Organization
Contact information
Practice address
4605 E GALBRAITH RD STE 100, CINCINNATI, OH 45236-2888
(513) 961-1991
Mailing address
4605 E GALBRAITH RD STE 100, CINCINNATI, OH 45236-2888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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