Organization
SPRINGFIELD PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA MYERS DDS (PEDIATRIC DENTIST)
(937) 568-7007
Entity
Organization
Contact information
Practice address
2200 OLYMPIC STREET, SPRINGFIELD, OH 45503
(937) 568-7007
Mailing address
2200 OLYMPIC STREET, SPRINGFIELD, OH 45503
(937) 568-7007
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30.023909
OH
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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