Organization
BEAVERCREEK DENTAL CARE INC
Active
Other names
Mitakides DDS
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (COO)
(937) 427-3131
Entity
Organization
Contact information
Practice address
2141 N FAIRFIELD RD SUITE A, BEAVERCREEK, OH 45431
(937) 427-3131
Mailing address
2141 N FAIRFIELD RD SUITE A, BEAVERCREEK, OH 45431
(937) 427-3131
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
07/20/2022
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