Goshen Family Dentistry, Ltd. | |
6782 Goshen Rd Goshen OH 45122-9317 | |
(513) 722-2933 | |
(513) 722-2923 |
Full Name | Goshen Family Dentistry, Ltd. |
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Speciality | Dentist - General Practice |
Location | 6782 Goshen Rd, Goshen, Ohio |
Authorized Official Name and Position | Bradley C Brennecke (MANAGER) |
Authorized Official Contact | 5137222933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Goshen Family Dentistry, Ltd. 6782 Goshen Rd Goshen OH 45122-9317 Ph: (513) 722-2933 | Goshen Family Dentistry, Ltd. 6782 Goshen Rd Goshen OH 45122-9317 Ph: (513) 722-2933 |
NPI Number | 1710189055 |
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Provider Enumeration Date | 05/31/2007 |
Last Update Date | 02/13/2012 |
Identifier | Type | State | Issuer |
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1710189055 | NPI | - | NPPES |
2294539 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 16397 (Ohio) | Primary |