Organization
KNO-HO-CO ASHLAND C.A.C
Active
Other names
Ashland Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY RENEE' BREITINGER (ASHLAND DENTAL CLINIC DIRECTOR)
(419) 289-4957
Entity
Organization
Contact information
Practice address
1797 SEDDON CT, ASHLAND, OH 44805-3583
(419) 289-4957
(419) 282-6987
Mailing address
1797 SEDDON CT, ASHLAND, OH 44805-3583
(419) 289-4957
(419) 282-6987
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106401
—
OH
Enumeration date
03/23/2007
Last updated
09/17/2020
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