Organization
STEPHEN J. DOELKER DDS LLC
Active
Other names
Klermont 4 Kids & Adults 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R FRY JR. MBA (BUSINESS MANAGER)
(513) 735-9111
Entity
Organization
Contact information
Practice address
497 W MAIN ST, BATAVIA, OH 45103
(513) 735-9111
(513) 735-9222
Mailing address
497 W MAIN ST, BATAVIA, OH 45103
(513) 735-9111
(513) 735-9222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30013796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263610
—
OH
05
—
2431158
—
OH
05
—
2554267
—
OH
Enumeration date
08/31/2006
Last updated
03/24/2008
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