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7458 State Route 161 E Plain City OH 43064-7565 | |
| (614) 504-5173 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7458 State Route 161 E, Plain City, Ohio |
| Authorized Official Name and Position | Zheng Wang (OWNER) |
| Authorized Official Contact | 6145045173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7458 State Route 161 E Plain City OH 43064-7565 Ph: (614) 504-5173 | 7458 State Route 161 E Plain City OH 43064-7565 Ph: (614) 504-5173 |
| NPI Number | 1922593193 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922593193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |