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7073 Clyo Rd Centerville OH 45459-4816 | |
(937) 435-5880 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 7073 Clyo Rd, Centerville, Ohio |
Authorized Official Name and Position | Thomas Bernard Paul (DENTIST) |
Authorized Official Contact | 9374355880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7073 Clyo Rd Centerville OH 45459-4816 Ph: (937) 435-5880 | 7073 Clyo Rd Centerville OH 45459-4816 Ph: (937) 435-5880 |
NPI Number | 1679907554 |
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Provider Enumeration Date | 08/27/2013 |
Last Update Date | 08/27/2013 |
Identifier | Type | State | Issuer |
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1679907554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 30.022746 (Ohio) | 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 | |