Mortenson Family Dental Center - Maineville LLC
NPI #1760929103 in Maineville, Ohio
Provider Information
- NPI Number
- 1760929103
- Entity Type
- Organization
- Organization Name
- Mortenson Family Dental Center - Maineville LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jan 24, 2017
- Last Updated
- Dec 15, 2022
Practice Location
- Address
- 6028 SOUTH STATE ROAD 48
- City
- Maineville
- State
- Ohio
- ZIP Code
- 45039
- Phone
- (513) 334-4099
Authorized Official
- Name
- JEFF REIBEL
- Title
- CFO
- Phone
- (502) 254-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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