Winchester Dental LLC

NPI #1306216247 in Canal Winchester, Ohio

Provider Information

NPI Number: 1306216247
Entity Type: Organization
Organization Name: Winchester Dental LLC
Primary Specialty: Dentist
Enumeration Date: Oct 5, 2015
Last Updated: Oct 5, 2015

Practice Location

Address: 6418 WINCHESTER BLVD
City: Canal Winchester
State: Ohio
ZIP Code: 43110-2005
Phone: (614) 834-1834

Authorized Official

Name: LADAN POURMOGHADAM, DDS
Title: OWNER
Phone: (614) 506-0740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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