Organization
DENTISTRY FOR CHILDREN OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMONIA LEONARD (CREDENTIALING SPECIALIST)
(678) 244-4844
Entity
Organization
Contact information
Practice address
3300 KEMP RD, BEAVERCREEK, OH 45431-4200
(937) 426-2653
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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