Organization
CHARLES D MOOREHEAD DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL MICHAEL (COO)
(513) 462-6583
Entity
Organization
Contact information
Practice address
10427 KENWOOD RD, BLUE ASH, OH 45242-3823
(513) 984-3817
(513) 984-3818
Mailing address
10427 KENWOOD RD, BLUE ASH, OH 45242-3823
(513) 984-3817
(513) 984-3818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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