Organization
SLATE RUN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DALTON DANIEL D.M.D. (PRESIDENT)
(614) 837-3211
Entity
Organization
Contact information
Practice address
11965 LITHOPOLIS RD NW, CANAL WINCHESTER, OH 43110-8958
(614) 837-3211
Mailing address
11965 LITHOPOLIS RD NW, CANAL WINCHESTER, OH 43110-8958
(614) 837-3211
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30.023434
OH
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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