Organization
LY DENTISTS OF KENWOOD PC INC
Active
Other names
Dentists of Kenwood
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LY DMD (OWNER)
(513) 776-8499
Entity
Organization
Contact information
Practice address
7819 KENWOOD ROAD, CINCINNATI, OH 45236
(513) 776-8499
(513) 978-5230
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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