Champaign Dental Group, Inc.
NPI #1598771321 in Urbana, Ohio
Provider Information
- NPI Number
- 1598771321
- Entity Type
- Organization
- Organization Name
- Champaign Dental Group, Inc.
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- AMANDA MICHELLE MAYSE
- Title
- OFFICE MANAGER
- Phone
- (937) 653-8650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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