Edgewood Dental Clinic

NPI #1194936724 in Hamilton, Ohio

Provider Information

NPI Number: 1194936724
Entity Type: Organization
Organization Name: Edgewood Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: May 25, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1 SOUTH EDGEWOOD AVE
City: Hamilton
State: Ohio
ZIP Code: 45013-2505
Phone: (513) 868-9277

Authorized Official

Name: MR. RAYMOND R THENOT
Title: OWNER
Phone: (513) 868-9277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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