# COMPLETE HEALTH DENTISTRY OF CINCINNATI

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ERIC D HENIZE DDS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386152452
- **Legal business name:** ERIC D HENIZE DDS, LLC
- **Authorized official:** ERIC D HENIZE DDS (OWNER)
- **Authorized official phone:** (513) 489-0607

## Contact information

- **Practice address:** 4723 CORNELL RD, BLUE ASH, OH 45241-7406
- **Practice address phone:** (513) 489-0607
- **Practice address fax:** (513) 657-0707
- **Mailing address:** 4723 CORNELL RD, BLUE ASH, OH 45241-7406
- **Mailing address phone:** (513) 489-0607
- **Mailing address fax:** (513) 657-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 3016838 | OH | Yes |

## Other

- **Enumeration date:** 01/11/2018
- **Last updated:** 03/17/2018