| Nguyen Blue Ash Modern Dentistry Pc, Inc. | |
|
4122 Hunt Rd Blue Ash OH 45236-1159 | |
| (513) 828-6708 | |
| (513) 826-1072 |
| Full Name | Nguyen Blue Ash Modern Dentistry Pc, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4122 Hunt Rd, Blue Ash, Ohio |
| Authorized Official Name and Position | Scott Knapke (OWNER) |
| Authorized Official Contact | 5138286708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nguyen Blue Ash Modern Dentistry Pc, Inc. Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Nguyen Blue Ash Modern Dentistry Pc, Inc. 4122 Hunt Rd Blue Ash OH 45236-1159 Ph: (513) 828-6708 |
| NPI Number | 1619625134 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619625134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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