Organization
BLANK DENTAL MANAGEMENT CO, LLC
Active
Parent organization
BLANK DENTAL MANAGEMENT CO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLANK DENTAL MANAGEMENT CO, LLC
Authorized official
TYLER SHINKLE (DIRECTOR OF OPERATIONS)
(513) 368-2497
Entity
Organization
Contact information
Practice address
9733 SAWMILL PKWY UNIT C, POWELL, OH 43065-6101
(614) 764-1013
Mailing address
9733 SAWMILL PKWY UNIT C, POWELL, OH 43065-6101
(614) 764-1013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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