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6040 Wilmington Pike Centerville OH 45459-7006 | |
(937) 848-3024 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 6040 Wilmington Pike, Centerville, Ohio |
Authorized Official Name and Position | Navdeep Sandhu (PRESIDENT) |
Authorized Official Contact | 7145786358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8415 Datapoint Dr Suite 1020 San Antonio TX 78229-3298 Ph: (714) 578-6358 | 6040 Wilmington Pike Centerville OH 45459-7006 Ph: (937) 848-3024 |
NPI Number | 1598823031 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 09/02/2016 |
Identifier | Type | State | Issuer |
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1598823031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 30.023513 (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 | |