| Angela D. Demoss, Dmd Inc. | |
|
120 W Wenger Rd Englewood OH 45322-2762 | |
| (937) 836-1207 | |
| Not Available |
| Full Name | Angela D. Demoss, Dmd Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 120 W Wenger Rd, Englewood, Ohio |
| Authorized Official Name and Position | Angela D Demoss (PRESIDENT/OWNER) |
| Authorized Official Contact | 9378361207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela D. Demoss, Dmd Inc. 120 W Wenger Rd Englewood OH 45322-2762 Ph: (937) 836-1207 | Angela D. Demoss, Dmd Inc. 120 W Wenger Rd Englewood OH 45322-2762 Ph: (937) 836-1207 |
| NPI Number | 1740590645 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740590645 | NPI | - | NPPES |
| 1265571715 | Other | OH | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30019818 (Ohio) | Primary |
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