Organization
OLLOM DDS MUDDY CREEK LLC
Active
Parent organization
OLLOM ENTERPRISES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLLOM ENTERPRISES LLC
Authorized official
MRS. JANE ANN CAMPBELL (DIRECTOR OF OPERATIONS)
(567) 940-8141
Entity
Organization
Contact information
Practice address
3650 MUDDY CREEK RD STE 200, CINCINNATI, OH 45238-2058
(513) 922-4221
Mailing address
2115 ALLENTOWN RD STE C, LIMA, OH 45805-1749
(419) 228-4036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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