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7100 Sennet Pl Suite E Liberty Townshp OH 45069-1794 | |
(917) 815-6369 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 7100 Sennet Pl, Liberty Townshp, Ohio |
Authorized Official Name and Position | Khalid Rashid Chaudry (DENTIST/OWNER) |
Authorized Official Contact | 9178156369 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7100 Sennet Place Suite E Liberty Township OH 45069 Ph: (917) 815-6369 | 7100 Sennet Pl Suite E Liberty Townshp OH 45069-1794 Ph: (917) 815-6369 |
NPI Number | 1871044347 |
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Provider Enumeration Date | 10/20/2016 |
Last Update Date | 10/20/2016 |
Identifier | Type | State | Issuer |
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1871044347 | NPI | - | NPPES |
310994808057 | Other | OH | CARE SOURCE |
2525959 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 30-022036 (Ohio) | Primary |