| Hyde Park Pediatric Dentistry | |
|
3870 Paxton Ave Suite G And H Cincinnati OH 45209-2366 | |
| (513) 979-6998 | |
| (513) 979-6990 |
| Full Name | Hyde Park Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3870 Paxton Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Katlin Blomer (OWNER/DENTIST) |
| Authorized Official Contact | 5139796998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyde Park Pediatric Dentistry 3870 Paxton Ave Suite G And H Cincinnati OH 45209-2366 Ph: (513) 979-6998 | Hyde Park Pediatric Dentistry 3870 Paxton Ave Suite G And H Cincinnati OH 45209-2366 Ph: (513) 979-6998 |
| NPI Number | 1659643922 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659643922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30.023390 (Ohio) | Primary |
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