Organization
BUCKEYE DENTAL CARE LLC.
Active
Other names
BUCKEYE DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
GHULAM FAREED DDS. (DENTIST)
(513) 482-0005
Entity
Organization
Contact information
Practice address
1268 OHIO PIKE, AMELIA, OH 45102
(513) 482-0005
Mailing address
1268 OHIO PIKE, AMELIA, OH 45102
(513) 482-0005
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
30.021441
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2419289
—
OH
Enumeration date
06/08/2016
Last updated
06/08/2016
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