| Wilmington Family Dental | |
|
2440 Wilmington Pike Dayton OH 45419-2459 | |
| (937) 296-9672 | |
| (866) 682-5140 |
| Full Name | Wilmington Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 2440 Wilmington Pike, Dayton, Ohio |
| Authorized Official Name and Position | S. Zak Hallock (OWNER) |
| Authorized Official Contact | 2165369652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmington Family Dental 2440 Wilmington Pike Dayton OH 45419-2459 Ph: (937) 296-9672 | Wilmington Family Dental 2440 Wilmington Pike Dayton OH 45419-2459 Ph: (937) 296-9672 |
| NPI Number | 1740412550 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 08/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740412550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.022787 (Ohio) | Primary |
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