Organization
SHELHOUSE COMPREHENSIVE DENTAL LLC
Active
Other names
Dayton Dental Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
PAM A BROWN (OFFICE MANAGER)
(937) 439-0275
Entity
Organization
Contact information
Practice address
5335 FAR HILLS AVE STE 210, DAYTON, OH 45429-2317
(937) 439-0275
(937) 439-0276
Mailing address
5335 FAR HILLS AVE STE 210, DAYTON, OH 45429-2317
(937) 439-0275
(937) 439-0276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
DENTAL OFFICE
—
Enumeration date
03/05/2013
Last updated
03/05/2013
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