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Organization

DONNA J MILLER DMD DANIEL F GREEN DDS & JEREMY D CRABTREE DDS INC

Active
Other names
Family Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
SUE SKLENAR (BUSINESS MANAGER)
(740) 773-4066
Entity
Organization

Contact information

Practice address
102 N SCIOTO ST, CIRCLEVILLE, OH 43113-1630
(740) 477-3174
(740) 477-2616
Mailing address
102 N SCIOTO ST, CIRCLEVILLE, OH 43113-1630
(740) 477-3174
(740) 477-2616

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0916601
OH
Enumeration date
11/01/2006
Last updated
03/28/2016
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