Organization
CHANGING SMILES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLLIE MAE ANTHONY (OFFICE MANAGER)
(937) 492-1790
Entity
Organization
Contact information
Practice address
325 2ND AVE, SIDNEY, OH 45365-1283
(937) 492-1790
(937) 492-2167
Mailing address
325 2ND AVE, SIDNEY, OH 45365-1283
(937) 492-1790
(937) 492-2167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014420
OH
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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