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Organization

NOONAN, BROCKMAN AND POLLOCK, D.D.S., INC.

Active
Other names
Noonan and Brockman, D.D.S., Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
AIMEE CORWIN (ACCOUNTS MANAGER)
(513) 423-9239
Entity
Organization

Contact information

Practice address
210 S BREIEL BLVD, MIDDLETOWN, OH 45044-5157
(513) 423-9239
(513) 423-4188
Mailing address
210 S BREIEL BLVD, MIDDLETOWN, OH 45044-5157
(513) 423-9239
(513) 423-4188

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13948
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0184072
OH
05
0701379
OH
05
0743637
OH
05
2705826
OH
Enumeration date
10/17/2006
Last updated
05/07/2019
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