Organization
GEM CITY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY LOWELL (ADMINISTRATIVE ASSISTANT)
(937) 938-5529
Entity
Organization
Contact information
Practice address
627 S EDWIN C. MOSES BLVD., SUITE 2A, DAYTON, OH 45417-3461
(937) 938-5529
(937) 938-6754
Mailing address
627 S EDWIN C. MOSES BLVD., SUITE 2A, DAYTON, OH 45417-3461
(937) 938-5529
(937) 938-6754
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23113
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2991722
—
OH
Enumeration date
03/20/2013
Last updated
03/20/2013
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