Organization
MOUNDBUILDERS GENERAL DENTISTRY
Active
Other names
Richard Main, DDS, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MAIN DDS (OWNER)
(740) 344-1810
Entity
Organization
Contact information
Practice address
1634 W CHURCH ST, NEWARK, OH 43055-1540
(740) 344-1810
(740) 344-0440
Mailing address
1634 W CHURCH ST, NEWARK, OH 43055-1540
(740) 344-1810
(740) 344-0440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30 013925
OH
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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