Organization
OHIO DENTAL PROFESSIONALS, DELISLE, PC
Active
Parent organization
OHIO DENTAL PROFESSIONALS, DELISLE, PC
Other names
Dental Care of Fairfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO DENTAL PROFESSIONALS, DELISLE, PC
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8312
Entity
Organization
Contact information
Practice address
3012 ANCHOR DRIVE, HAMILTON, OH 45011
(513) 285-9613
Mailing address
3012 ANCHOR DRIVE, HAMILTON, OH 45011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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