Organization
THOMAS J MADL JR DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOSEPH MADL JR. DMD (OPERATING MEMBER)
(513) 367-4048
Entity
Organization
Contact information
Practice address
1003 HARRISON AVE, SUITE 300, HARRISON, OH 45030-1799
(513) 367-4048
(513) 367-4068
Mailing address
1003 HARRISON AVE, SUITE 300, HARRISON, OH 45030-1799
(513) 367-4048
(513) 367-4068
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30020664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038244
—
OH
Enumeration date
01/02/2007
Last updated
08/22/2020
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