Organization
AFINIA DENTAL KILLGORE BRIDGETOWN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MICHAEL KILLGORE DMD (OWNER - PRESIDENT)
(513) 739-9117
Entity
Organization
Contact information
Practice address
6371 BRIDGETOWN RD, CINCINNATI, OH 45248-2943
(513) 746-8228
Mailing address
9415 FIELDS ERTEL RD, CINCINNATI, OH 45249-8212
(513) 746-8228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30022880
OH
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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