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Organization

FAMILY DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALI KHAKSARFARD D.D.S. (CEO)
(740) 852-7741
Entity
Organization

Contact information

Practice address
1248 COLUMBUS AVE, SUITE 8, LEBANON, OH 45036-8363
(513) 932-0432
(513) 932-0532
Mailing address
1248 COLUMBUS AVE, SUITE 8, LEBANON, OH 45036-8363
(513) 932-0432
(513) 932-0532

Taxonomy

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

Other

Enumeration date
02/03/2011
Last updated
02/03/2011
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