Organization
CG DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H CASTELLANOS (MANAGER)
(857) 206-4448
Entity
Organization
Contact information
Practice address
11438 LEBANON RD UNIT A, SHARONVILLE, OH 45241-6201
(513) 738-4900
Mailing address
1097 BEAR GRASS WAY, MAINEVILLE, OH 45039-7003
(857) 206-4448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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