| Gid Orthodontics Llc | |
|
6876 Cincinnati Dayton Rd Ste 104 Liberty Township OH 45044-8898 | |
| (513) 772-6500 | |
| (513) 772-2002 |
| Full Name | Gid Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6876 Cincinnati Dayton Rd Ste 104, Liberty Township, Ohio |
| Authorized Official Name and Position | Kevin J Ison (PARTNER) |
| Authorized Official Contact | 5137726500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gid Orthodontics Llc 4845 Rialto Rd Ste A West Chester OH 45069-2910 Ph: (513) 772-6500 | Gid Orthodontics Llc 6876 Cincinnati Dayton Rd Ste 104 Liberty Township OH 45044-8898 Ph: (513) 772-6500 |
| NPI Number | 1679103865 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679103865 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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