| Lakota Premier Dental, Llc | |
|
7908 Cincinnati Dayton Rd Suite B West Chester OH 45069-6608 | |
| (513) 755-0801 | |
| Not Available |
| Full Name | Lakota Premier Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7908 Cincinnati Dayton Rd, West Chester, Ohio |
| Authorized Official Name and Position | Hassan Fadl Dawas (PRESIDENT) |
| Authorized Official Contact | 6147079342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakota Premier Dental, Llc 7908 Cincinnati Dayton Rd Suite B West Chester OH 45069-6608 Ph: (513) 755-0801 | Lakota Premier Dental, Llc 7908 Cincinnati Dayton Rd Suite B West Chester OH 45069-6608 Ph: (513) 755-0801 |
| NPI Number | 1659797744 |
|---|---|
| Provider Enumeration Date | 03/13/2014 |
| Last Update Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659797744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30-023232 (Ohio) | Primary |
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