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Organization

AFINIA DENTAL-KILLGORE EASTGATE INC

Active
Other names
Afinia Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW MICHAEL KILLGORE DMD (OWNER)
(513) 739-9117
Entity
Organization

Contact information

Practice address
792 EASTGATE SOUTH DR, SUITE 250, CINCINNATI, OH 45245-1592
(513) 777-9117
Mailing address
792 EASTGATE SOUTH DR, SUITE 250, CINCINNATI, OH 45245-1592
(513) 777-9117

Taxonomy

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

Other

Enumeration date
03/15/2011
Last updated
03/15/2011
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