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Organization
TRENTON FAMILY DENTAL CARE - DR.VASUDHA BASAVA DDS LLC
Active
Organization
TRENTON FAMILY DENTAL CARE - DR.VASUDHA BASAVA DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASUDHA BASAVA DDS (MANAGING MEMBER)
(513) 988-6316
Entity
Organization
Contact information
Practice address
122 E STATE ST, TRENTON, OH 45067-1528
(513) 988-6316
(513) 988-6317
Mailing address
122 E STATE ST, TRENTON, OH 45067-1528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30022452
OH
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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