Individual
BAILEY ELIZABETH JANCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
110 W WENGER RD, ENGLEWOOD, OH 45322-2725
(937) 836-6066
Mailing address
109 HILL CIR, UNION, OH 45322-3458
(937) 474-1239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026110
OH
1223G0001X
General Practice Dentistry
Primary
30.026110
OH
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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