Organization
MORTENSON FAMILY DENTAL CENTER - LANDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAMES (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
3116 W US 22 AND 3, MAINEVILLE, OH 45039-8103
(513) 334-4060
(513) 453-7175
Mailing address
3116 W US 22 AND 3, MAINEVILLE, OH 45039-8103
(513) 334-4060
(513) 453-7175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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