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Organization

CLIFTON MODERN DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MUSAB SHALASH (PARTNER DENTIST)
(859) 684-3947
Entity
Organization

Contact information

Practice address
310 TERRACE AVE STE 102, CINCINNATI, OH 45220-2079
(513) 809-4444
Mailing address
7764 COLERAIN AVE STE A, CINCINNATI, OH 45239-4504

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/09/2025
Last updated
09/09/2025
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