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706 S. Market Street Danville OH 43014 | |
| (617) 680-4309 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 706 S. Market Street, Danville, Ohio |
| Authorized Official Name and Position | Aaron F. Lerg (OWNER) |
| Authorized Official Contact | 7405995061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
709 S. Market Street Box 3 Danville OH 43014 Ph: () - | 706 S. Market Street Danville OH 43014 Ph: (617) 680-4309 |
| NPI Number | 1124407895 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124407895 | NPI | - | NPPES |
| 0128282 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |