Individual
KYLE BENJAMIN BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6441 WINCHESTER BLVD, CANAL WINCHESTER, OH 43110-2033
(614) 834-3455
Mailing address
4712 BROOK RUN, SYLVANIA, OH 43560-9264
(419) 467-0994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027112
OH
Other
Enumeration date
05/08/2023
Last updated
05/09/2023
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