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Organization

DR. ERIK SNELL DENTISTRY EVOLVED LLC

Active
Other names
Prime Dentistry & Implants
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIK MATHEW SNELL D.D.S. (DENTIST/OWNER)
(937) 604-7117
Entity
Organization

Contact information

Practice address
PRIME DENTISTRY & IMPLANTS, 5307 HILDENBRAND WAY, LIBERTY TOWNSHP, OH 45011
(513) 759-7635
(513) 755-2039
Mailing address
PRIME DENTISTRY & IMPLANTS, 5307 HILDENBRAND WAY, LIBERTY TOWNSHP, OH 45011
(513) 759-7635
(513) 755-2039

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.023947
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0104785
OH
Enumeration date
09/06/2016
Last updated
11/08/2024
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