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Organization

OLLOM COMMUNITY DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANE ANN CAMPBELL (DIRECTOR OF OPERATIONS)
(419) 228-4036
Entity
Organization

Contact information

Practice address
1702 ALLENTOWN RD, LIMA, OH 45805-1845
(419) 222-0693
Mailing address
1702 ALLENTOWN RD, LIMA, OH 45805-1845
(419) 222-0693
(419) 879-6478

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/16/2019
Last updated
11/30/2020
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