Individual
DR. THOMAS JOSEPH MADL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1003 HARRISON AVE, SUITE 300, HARRISON, OH 45030-1799
(513) 367-4048
(513) 367-4068
Mailing address
1003 HARRISON AVE, SUITE 300, HARRISON, OH 45030-1799
(513) 367-4048
(513) 367-4068
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30020664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038244
—
OH
Enumeration date
01/02/2007
Last updated
07/09/2007
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