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Organization

UNIVERSITY ORAL PATHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN GRAY (CLIENT SERVICES MANAGER)
(513) 965-8041
Entity
Organization

Contact information

Practice address
222 PIEDMONT AVE, STE 8400, CINCINNATI, OH 45219-4231
(513) 965-8041
(513) 965-8091
Mailing address
PO BOX 42262, CINCINNATI, OH 45242-0262
(513) 965-8091
(513) 965-8091

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2241452
OH
Enumeration date
07/29/2005
Last updated
06/17/2008
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