Organization
MONTGOMERY COUNTY COURT HOUSE
Active
Other names
Montgomery County Board of DDS
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A BANKS (SUPERINTENDENT)
(937) 837-9200
Entity
Organization
Contact information
Practice address
5450 SALEM AVE, DAYTON, OH 45426-1450
(937) 837-9200
(937) 854-0492
Mailing address
5450 SALEM AVE, DAYTON, OH 45426-1450
(937) 837-9258
(937) 854-0492
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2847012
—
OH
Enumeration date
04/23/2012
Last updated
03/15/2018
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