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Individual

AUGUSTUS BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3012 GLENMORE AVE STE 206, CINCINNATI, OH 45238-2258
(513) 661-6576
Mailing address
7832 ZION HILL RD, CLEVES, OH 45002-9697
(513) 607-3422

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026235
OH

Other

Enumeration date
07/02/2020
Last updated
07/02/2020
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