Magnolia Centerville Llc | |
401 Miamisburg Centerville Rd Centerville OH 45459-4753 | |
(937) 435-5073 | |
Not Available |
Full Name | Magnolia Centerville Llc |
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Speciality | Clinic/center - Dental |
Location | 401 Miamisburg Centerville Rd, Centerville, Ohio |
Authorized Official Name and Position | Jennifer Sammons (REGIONAL OPERATIONS MANAGER) |
Authorized Official Contact | 9372031163 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Magnolia Centerville Llc 401 Miamisburg Centerville Rd Centerville OH 45459-4753 Ph: () - | Magnolia Centerville Llc 401 Miamisburg Centerville Rd Centerville OH 45459-4753 Ph: (937) 435-5073 |
NPI Number | 1891308011 |
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Provider Enumeration Date | 08/27/2020 |
Last Update Date | 08/27/2020 |
Identifier | Type | State | Issuer |
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1891308011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Professional Dental Alliance Of Centerville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9420 Dayton Lebanon Pike, Centerville, OH 45458 Phone: 937-433-8900 | |