Organization
BELLBROOK PEDIATRIC DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YISSELL CARPENTINO- DE JESUS DMD (PEDIATRIC DENTIST)
(937) 848-4848
Entity
Organization
Contact information
Practice address
4354 W FRANKLIN ST, BELLBROOK, OH 45305-1544
(937) 848-4848
(937) 848-4849
Mailing address
4354 W FRANKLIN ST, BELLBROOK, OH 45305-1544
(937) 848-4848
(937) 848-4849
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30023825
OH
Other
Enumeration date
12/17/2017
Last updated
12/17/2017
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