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Organization
UNIQUE SOLUTIONS MANAGEMENT COMPANY LLC
Active
Organization
UNIQUE SOLUTIONS MANAGEMENT COMPANY LLC
Active
Other names
Klermont 4 Kids & Adults 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RUDOLPH FRY JR. MBA (BUSINESS MANAGER)
(513) 735-9111
Entity
Organization
Contact information
Practice address
497 W MAIN ST, BATAVIA, OH 45103-1727
(513) 735-9111
(513) 735-9222
Mailing address
497 W MAIN ST, BATAVIA, OH 45103-1727
(513) 735-9111
(513) 735-9222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30013796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263610
—
OH
01
—
160729464
DR. HASSAN TID
OH
05
—
2231516
—
OH
05
—
2362116
—
OH
05
—
2431158
—
OH
01
—
470902004
DOELKER TID
OH
01
—
470902004028
HASSAN CARESOURCE
OH
01
—
470902004029
CARESOURCE
OH
Enumeration date
03/22/2007
Last updated
03/25/2008
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