Organization
DIG ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY V GRUELLE (OWNER)
(859) 391-4000
Entity
Organization
Contact information
Practice address
1163 FEHL LN, CINCINNATI, OH 45230-4349
(513) 231-0041
Mailing address
1163 FEHL LN, CINCINNATI, OH 45230-4349
(513) 231-0041
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30 015943
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30 023642
OH
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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