Dayton Dental Collaborative

NPI #1144465907 in Dayton, Ohio

Provider Information

NPI Number
1144465907
Entity Type
Organization
Organization Name
Dayton Dental Collaborative
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 9, 2008
Last Updated
Dec 9, 2008

Practice Location

Address
5685 FAR HILLS AVE
City
Dayton
State
Ohio
ZIP Code
45429-2226
Phone
(937) 435-5163

Authorized Official

Name
R. GREGORY SHELHOUSE, DDS
Title
OWNER DENTIST
Phone
(937) 435-5163

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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