| Dorothy Lane Dental, Ganesh Loganathan, D.d.s., Inc. | |
|
1633 W Dorothy Ln Moraine OH 45439-1836 | |
| (937) 298-4221 | |
| (937) 395-3665 |
| Full Name | Dorothy Lane Dental, Ganesh Loganathan, D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1633 W Dorothy Ln, Moraine, Ohio |
| Authorized Official Name and Position | Ganesh Loganathan (PRESIDENT) |
| Authorized Official Contact | 9372984221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy Lane Dental, Ganesh Loganathan, D.d.s., Inc. 1633 W Dorothy Ln Moraine OH 45439-1836 Ph: (937) 298-4221 | Dorothy Lane Dental, Ganesh Loganathan, D.d.s., Inc. 1633 W Dorothy Ln Moraine OH 45439-1836 Ph: (937) 298-4221 |
| NPI Number | 1790095271 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 11/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790095271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30019355 (Ohio) | Primary |