Organization
KIDS DENTAL OF DAYTON-JOAN-FLORENCE BESANA SALIDO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALENA EVANS (SR CREDENTIALING SPECIALIST)
(720) 603-4763
Entity
Organization
Contact information
Practice address
4257 W 3RD ST, DAYTON, OH 45417-1406
(937) 268-1665
Mailing address
4257 W 3RD ST, DAYTON, OH 45417-1406
(937) 268-1665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
10/14/2024
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