| |
335 N Main St, Suite 1, Springboro, OH 45066-9557 | |
(937) 748-0940 | |
(937) 748-1666 |
Full Name | |
---|---|
Type | Facility |
Speciality | Dentist - General Practice |
Location | 335 N Main St, Springboro, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275640096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1228 (Ohio) | Primary |
1223G0001X | Dentist - General Practice | 14497 (Ohio) | Primary |
Mailing Address | Practice Location Address |
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335 N Main St, Suite 1, Springboro, OH 45066-9557 Ph: (937) 748-0940 | 335 N Main St, Suite 1, Springboro, OH 45066-9557 Ph: (937) 748-0940 |