Berea Family Dental

NPI #1780079038 in Springfield, Ohio

Provider Information

NPI Number: 1780079038
Entity Type: Organization
Organization Name: Berea Family Dental
Primary Specialty: Dentist
Enumeration Date: Apr 3, 2015
Last Updated: Apr 3, 2015

Practice Location

Address: 20 S LIMESTONE ST
Address 2: SUITE110
City: Springfield
State: Ohio
ZIP Code: 45502-2219
Phone: (937) 322-7832

Authorized Official

Name: KATHY NELSON
Title: PRACTICE ADMINISTRATOR
Phone: (937) 206-4080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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