Moundbuilders General Dentistry

NPI #1295933281 in Newark, Ohio

Provider Information

NPI Number: 1295933281
Entity Type: Organization
Organization Name: Moundbuilders General Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 11, 2007
Last Updated: Jul 11, 2007

Practice Location

Address: 1634 W CHURCH ST
City: Newark
State: Ohio
ZIP Code: 43055-1540
Phone: (740) 344-1810

Authorized Official

Name: DR. RICHARD MAIN, DDS
Title: OWNER
Phone: (740) 344-1810

Specialties & Taxonomy Codes

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

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