Organization
LEDGESTONE DENTAL - MECLOSKY DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLAN MECLOSKY DDS (OWNER)
(937) 748-9240
Entity
Organization
Contact information
Practice address
18 REMICK BLVD, SPRINGBORO, OH 45066-9168
(937) 748-9240
(937) 748-9626
Mailing address
18 REMICK BLVD, SPRINGBORO, OH 45066-9168
(937) 748-9240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30018831
OH
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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