Modern Dental Professionals-Lee,inc

NPI #1992989412 in Arcanum, Ohio

Provider Information

NPI Number
1992989412
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
1 S HIGH ST
State
Ohio
ZIP Code
45304-1118
Phone
(937) 692-5150

Authorized Official

Name
RHONDA KELLER
Title
DISTRICT MANAGER
Phone
(937) 278-7956

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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