Modern Dental Professionals-lee,inc | |
6040 Wilmington Pike Centerville OH 45459-7006 | |
(937) 778-0150 | |
Not Available |
Full Name | Modern Dental Professionals-lee,inc |
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Speciality | Dentist - General Practice |
Location | 6040 Wilmington Pike, Centerville, Ohio |
Authorized Official Name and Position | Rhonda Keller (DISTRICT MANAGER) |
Authorized Official Contact | 9372787956 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Modern Dental Professionals-lee,inc 6040 Wilmington Pike Centerville OH 45459-7006 Ph: (937) 778-0150 | Modern Dental Professionals-lee,inc 6040 Wilmington Pike Centerville OH 45459-7006 Ph: (937) 778-0150 |
NPI Number | 1033393558 |
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Provider Enumeration Date | 12/19/2007 |
Last Update Date | 12/19/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033393558 | NPI | - | NPPES |
2183613 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30.019758 (Ohio) | Primary |
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