Organization
CENTERVILLE DENTAL CENTER OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (COO)
(937) 435-4150
Entity
Organization
Contact information
Practice address
9346 DAYTON LEBANON PIKE, CENTERVILLE, OH 45458-3839
(937) 435-4150
Mailing address
9346 DAYTON LEBANON PIKE, CENTERVILLE, OH 45458-3839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
07/20/2022
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