Organization
MIDDLETOWN KETTERING AND CINCINNATI DENTISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (COO)
(513) 424-3971
Entity
Organization
Contact information
Practice address
321 N BREIEL BLVD, MIDDLETOWN, OH 45042-3868
(513) 424-3971
Mailing address
321 N BREIEL BLVD, MIDDLETOWN, OH 45042-3868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
07/20/2022
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