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Organization
FAMILY DENTAL CARE AT EAGLETON CENTER
Active
Organization
FAMILY DENTAL CARE AT EAGLETON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI KHAKSAFARD DDS (OWNER)
(740) 852-7741
Entity
Organization
Contact information
Practice address
391 LAFAYETTE ST., LONDON, OH 43140-9195
(740) 852-7741
(740) 852-7783
Mailing address
391 LAFAYETTE ST, LONDON, OH 43140-9326
(740) 852-7741
(740) 852-7783
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/10/2007
Last updated
03/30/2017
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