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Organization

DAYTON DENTAL SPECIALTIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANJEEV K GOEL DDS (OWNER)
(513) 942-8181
Entity
Organization

Contact information

Practice address
4235 INDIAN RIPPLE RD, SUITE 200A, BEAVERCREEK, OH 45440-3284
(937) 802-0901
(937) 802-0950
Mailing address
4235 INDIAN RIPPLE RD, SUITE 200A, BEAVERCREEK, OH 45440-3284
(937) 802-0901
(937) 802-0950

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
22979
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24125
OH

Other

Enumeration date
07/14/2014
Last updated
07/14/2014
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