Organization
ANGELA D. DEMOSS, DMD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D DEMOSS DMD (PRESIDENT/OWNER)
(937) 836-1207
Entity
Organization
Contact information
Practice address
120 W WENGER RD, ENGLEWOOD, OH 45322-2762
(937) 836-1207
Mailing address
120 W WENGER RD, ENGLEWOOD, OH 45322-2762
(937) 836-1207
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30019818
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265571715
INDIVIDUAL NPI
OH
Enumeration date
10/14/2010
Last updated
10/14/2010
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