| South Vienna Family Dental | |
|
8490 E National Rd South Vienna OH 45369-9707 | |
| (937) 568-3302 | |
| (937) 568-3304 |
| Full Name | South Vienna Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8490 E National Rd, South Vienna, Ohio |
| Authorized Official Name and Position | Irfan Khan (OWNER) |
| Authorized Official Contact | 9375683302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Vienna Family Dental 8490 E National Rd Po Box 215 South Vienna OH 45369-9707 Ph: (937) 568-3302 | South Vienna Family Dental 8490 E National Rd South Vienna OH 45369-9707 Ph: (937) 568-3302 |
| NPI Number | 1023416294 |
|---|---|
| Provider Enumeration Date | 12/19/2014 |
| Last Update Date | 12/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023416294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-022887 (Ohio) | Primary |
South Vienna Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8490 E National Rd, South Vienna, OH 45369 Phone: 937-568-3302 Fax: 937-568-3304 |