| Mitakides Dds | |
|
2141 N Fairfield Rd Suite A Beavercreek OH 45431 | |
| (937) 427-3131 | |
| Not Available |
| Full Name | Mitakides Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2141 N Fairfield Rd Suite A, Beavercreek, Ohio |
| Authorized Official Name and Position | Opal Anderson (COO) |
| Authorized Official Contact | 9374273131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitakides Dds 2141 N Fairfield Rd Suite A Beavercreek OH 45431 Ph: (937) 427-3131 | Mitakides Dds 2141 N Fairfield Rd Suite A Beavercreek OH 45431 Ph: (937) 427-3131 |
| NPI Number | 1326680133 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326680133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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