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Organization
KEVIN D. OH, LLC
Active
Organization
KEVIN D. OH, LLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LA DUC (PROVIDER RELATIONS)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1430 HIGHWAY 20 W, MCDONOUGH, GA 30253-7305
(678) 537-6000
(770) 957-0937
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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