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Organization

CRUTCHFIELD DENTAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLSIE CRUTCHFIELD D.D.S. (COO/ MANAGING PARTNER)
(513) 909-4746
Entity
Organization

Contact information

Practice address
8520 LANDEN DR, MAINEVILLE, OH 45039-9565
(513) 909-4746
Mailing address
9519 TAHOE DR, DAYTON, OH 45458-3770
(937) 999-6500

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.023137
OH

Other

Enumeration date
03/02/2017
Last updated
03/02/2017
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