Centerville Dental Center Ohio LLC

NPI #1427515667 in Centerville, Ohio

Provider Information

NPI Number: 1427515667
Entity Type: Organization
Organization Name: Centerville Dental Center Ohio LLC
Primary Specialty: Dentist
Enumeration Date: Feb 25, 2019
Last Updated: Jul 20, 2022

Practice Location

Address: 9346 DAYTON LEBANON PIKE
City: Centerville
State: Ohio
ZIP Code: 45458-3839
Phone: (937) 435-4150

Authorized Official

Name: OPAL ANDERSON
Title: COO
Phone: (937) 435-4150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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