Organization
MOOREHEAD DENTISTRY LEBANON LLC
Active
Other names
Moorehead Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL MICHAEL (COO)
(513) 462-6583
Entity
Organization
Contact information
Practice address
1521 WALMART DR STE 501, LEBANON, OH 45036-8350
(513) 282-6200
Mailing address
1521 WALMART DR STE 501, LEBANON, OH 45036-8350
(513) 282-6200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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