Organization
TRISTATE MOBILE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAITH HAYDEN (MEMBER, DENTIST)
(513) 460-3124
Entity
Organization
Contact information
Practice address
9200 MONTGOMERY RD UNIT 1A2A, CINCINNATI, OH 45242-7789
(513) 460-3124
Mailing address
9200 MONTGOMERY RD UNIT 1A2A, CINCINNATI, OH 45242-7789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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