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Organization

HYDE PARK PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATLIN BLOMER (OWNER/DENTIST)
(513) 979-6998
Entity
Organization

Contact information

Practice address
3870 PAXTON AVE, SUITE G AND H, CINCINNATI, OH 45209-2366
(513) 979-6998
(513) 979-6990
Mailing address
3870 PAXTON AVE, SUITE G AND H, CINCINNATI, OH 45209-2366
(513) 979-6998
(513) 979-6990

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30.023390
OH

Other

Enumeration date
02/02/2012
Last updated
02/02/2012
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