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Organization

FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAMDA L HOOD DDS (DENTIST)
(513) 541-5599
Entity
Organization

Contact information

Practice address
2310 BALTIMORE AVE, CINCINNATI, OH 45225
(513) 541-5599
(513) 541-5599
Mailing address
PO BOX 36427, CINCINNATI, OH 45236-0427

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002833
AMERIGROUP-OHIO
05
0762447
OH
Enumeration date
03/20/2008
Last updated
04/20/2008
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