Organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Active
Parent organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Other names
Afinia Dental - Mason
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
9415 FIELDS ERTEL RD, CINCINNATI, OH 45249-8212
(513) 746-8228
Mailing address
9415 FIELDS ERTEL RD, CINCINNATI, OH 45249-8212
(513) 746-8228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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