Modern Dental Professionals-Lee,inc

NPI #1033393558 in Centerville, Ohio

Provider Information

NPI Number
1033393558
Entity Type
Organization
Organization Name
Modern Dental Professionals-Lee,inc
Subpart
Yes (part of a larger organization)
Parent Organization
MODERN DENTAL PROFESSIONALS-LEE,INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 19, 2007
Last Updated
Dec 19, 2007

Practice Location

Address
6040 WILMINGTON PIKE
State
Ohio
ZIP Code
45459-7006
Phone
(937) 778-0150

Authorized Official

Name
RHONDA KELLER
Title
DISTRICT MANAGER
Phone
(937) 278-7956

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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