Organization
LIMAZWICK-URBANA LLC
Active
Other names
Champaign Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MASON (OFFICE MANAGER)
(937) 653-8650
Entity
Organization
Contact information
Practice address
139 PATRICK AVE, URBANA, OH 43078-2123
(937) 653-8650
(937) 653-8606
Mailing address
139 PATRICK AVE, URBANA, OH 43078-2123
(937) 653-8650
(937) 653-8606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/07/2019
Last updated
12/07/2019
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