Organization
JESSICA L KILE DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA L KILE DDS (OWNER)
(937) 834-2252
Entity
Organization
Contact information
Practice address
18 S MAIN ST, MECHANICSBURG, OH 43044-1111
(937) 834-2252
Mailing address
18 S MAIN ST, MECHANICSBURG, OH 43044-1111
(937) 834-2252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639420920
NPI INDIVIDUAL
—
01
—
23742
OHIO LICENSE
OH
Enumeration date
05/14/2013
Last updated
05/14/2013
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