| Dayton Va Medican Center | |
|
4100 W 3rd St Dayton Vamc Dental Services (160) Dayton OH 45428-9000 | |
| (937) 262-2102 | |
| Not Available |
| Full Name | Dayton Va Medican Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4100 W 3rd St, Dayton, Ohio |
| Authorized Official Name and Position | David Stanczyk (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9372622102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayton Va Medican Center 4100 W 3rd St Dayton Vamc Dental Services (160) Dayton OH 45428-9000 Ph: (937) 262-2102 | Dayton Va Medican Center 4100 W 3rd St Dayton Vamc Dental Services (160) Dayton OH 45428-9000 Ph: (937) 262-2102 |
| NPI Number | 1669855144 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 07/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669855144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | RES.3597 (Ohio) | Primary |
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