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Organization

DAYTON SKIN SURGERY CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HEIDI B DONNELLY MD (OWNER)
(937) 293-5567
Entity
Organization

Contact information

Practice address
3025 GOVERNORS PLACE BLVD, DAYTON, OH 45409-1330
(937) 293-5567
(937) 293-5568
Mailing address
3025 GOVERNORS PLACE BLVD, DAYTON, OH 45409-1330
(937) 293-5567
(937) 293-5568

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35073167
OH

Other

Enumeration date
05/23/2006
Last updated
06/02/2010
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