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Organization

KENWOOD COMPLETE DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN PELCHOVITZ (DENTIST)
(513) 531-5050
Entity
Organization

Contact information

Practice address
5050 E GALBRAITH RD, SUITE C, CINCINNATI, OH 45236-2818
(513) 531-5050
Mailing address
5050 E GALBRAITH RD, SUITE C, CINCINNATI, OH 45236-2818

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21906
OH
1223G0001X
General Practice Dentistry
30015517
OH

Other

Enumeration date
08/26/2009
Last updated
08/26/2009
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