Modern Dental Professionals-Lee,inc
NPI #1386828812 in Springfield, Ohio
Provider Information
- NPI Number
- 1386828812
- 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
- 1475 UPPER VALLEY PIKE
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45504-4047
- Phone
- (937) 322-7549
Authorized Official
- Name
- RHONDA KELLER
- Title
- DISTRICT MANAGER
- Phone
- (937) 278-7956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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