| Afinia Dental - Killgore Fields Ertel Inc. | |
|
9415 Fields Ertel Rd Cincinnati OH 45249-8212 | |
| (513) 777-9117 | |
| (513) 843-7830 |
| Full Name | Afinia Dental - Killgore Fields Ertel Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9415 Fields Ertel Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Andrew Michael Killgore (OWNER/PRESIDENT) |
| Authorized Official Contact | 5137779117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Afinia Dental - Killgore Fields Ertel Inc. 792 Eastgate South Dr Ste 250 Cincinnati OH 45245-1563 Ph: (513) 777-9117 | Afinia Dental - Killgore Fields Ertel Inc. 9415 Fields Ertel Rd Cincinnati OH 45249-8212 Ph: (513) 777-9117 |
| NPI Number | 1801158092 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801158092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30022880 (Ohio) | Primary |
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