Organization
DOROTHY LANE DENTAL, GANESH LOGANATHAN, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GANESH LOGANATHAN DDS (PRESIDENT)
(937) 298-4221
Entity
Organization
Contact information
Practice address
1633 W DOROTHY LN, MORAINE, OH 45439-1836
(937) 298-4221
(937) 395-3665
Mailing address
1633 W DOROTHY LN, MORAINE, OH 45439-1836
(937) 298-4221
(937) 395-3665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30019355
OH
Other
Enumeration date
10/18/2010
Last updated
11/12/2010
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