| Cincy Pediatric Dentistry, Llc | |
|
7777 Yankee Rd Liberty Township OH 45044-3500 | |
| (937) 245-0390 | |
| Not Available |
| Full Name | Cincy Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7777 Yankee Rd, Liberty Township, Ohio |
| Authorized Official Name and Position | Lisa Marie Rudolph (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5134008551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cincy Pediatric Dentistry, Llc 1131 Cryer Ave Cincinnati OH 45208 Ph: (513) 400-8551 | Cincy Pediatric Dentistry, Llc 7777 Yankee Rd Liberty Township OH 45044-3500 Ph: (937) 245-0390 |
| NPI Number | 1912547811 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912547811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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