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900 E Alex Bell Rd Centerville OH 45459-2721 | |
(937) 435-7311 | |
(937) 435-5803 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 900 E Alex Bell Rd, Centerville, Ohio |
Authorized Official Name and Position | Daniel Edward Cobb (OWNER) |
Authorized Official Contact | 9374357311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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900 E Alex Bell Rd Centerville OH 45459-2721 Ph: (937) 435-7311 | 900 E Alex Bell Rd Centerville OH 45459-2721 Ph: (937) 435-7311 |
NPI Number | 1205251824 |
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Provider Enumeration Date | 02/19/2014 |
Last Update Date | 02/19/2014 |
Identifier | Type | State | Issuer |
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1205251824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 1197826 (Ohio) | Primary |
Professional Dental Alliance Of Centerville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9420 Dayton Lebanon Pike, Centerville, OH 45458 Phone: 937-433-8900 | |