Organization
FRESH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EJAZ AHMED LAKHANI DDS (DENTIST)
(513) 697-1211
Entity
Organization
Contact information
Practice address
11907 MONTGOMERY RD, CINCINNATI, OH 45249-1794
(513) 697-1211
(513) 697-1214
Mailing address
11907 MONTGOMERY RD, CINCINNATI, OH 45249-1794
(513) 697-1211
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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