Organization
AFINIA DENTAL-KILLGORE FAIRFIELD INC
Active
Other names
Orchard Hill Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN RENEE KINGSLEY (REGIONAL OPERATIONS MANAGER)
(513) 746-8228
Entity
Organization
Contact information
Practice address
3174 MACK RD STE 5, FAIRFIELD, OH 45014-5369
(513) 874-8636
(513) 874-5227
Mailing address
3174 MACK RD STE 5, FAIRFIELD, OH 45014-5369
(513) 874-8636
(513) 874-5227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528078227
NPI
OH
01
—
30-022880
LICENSE
OH
Enumeration date
09/28/2020
Last updated
09/28/2020
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