Organization
WYOMING SMILE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (OPERATIONS MANAGER)
(513) 761-1900
Entity
Organization
Contact information
Practice address
423 WORTHINGTON AVE, CINCINNATI, OH 45215-4436
(513) 761-1900
Mailing address
423 WORTHINGTON AVE, CINCINNATI, OH 45215-4436
(513) 761-1900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2017
Last updated
07/20/2022
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