# TRENTON DENTAL ASSOCIATES - BRYAN T. TERVO, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871783100
- **Authorized official:** DR. BRYAN T. TERVO D.D.S. (OWNER)
- **Authorized official phone:** (513) 988-6316

## Contact information

- **Practice address:** 122 E STATE ST, TRENTON, OH 45067-1528
- **Practice address phone:** (513) 988-6316
- **Mailing address:** 122 E STATE ST, TRENTON, OH 45067-1528
- **Mailing address phone:** (513) 988-6316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 30-021010 | OH | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 08/01/2007
