Organization
COMPLETE DENTAL CARE OF SHADYSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDA LESTER (OFFICE MANAGER)
(740) 485-0309
Entity
Organization
Contact information
Practice address
3775 CENTRAL AVE, SHADYSIDE, OH 43947-1344
(740) 676-2604
(740) 676-2604
Mailing address
2700 SUNSET BLVD, STEUBENVILLE, OH 43952-1158
(740) 264-6811
(740) 264-6812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.016390
OH
122300000X
Dentist
Primary
30.023979
OH
122300000X
Dentist
30.024551
OH
122300000X
Dentist
30.24884
OH
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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