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9215 Cincinnati Columbus Rd West Chester OH 45069-4178 | |
| (513) 777-2313 | |
| (513) 779-5942 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9215 Cincinnati Columbus Rd, West Chester, Ohio |
| Authorized Official Name and Position | Bracken Michael Webb (OWNER) |
| Authorized Official Contact | 8015929737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9215 Cincinnati Columbus Rd West Chester OH 45069-4178 Ph: (513) 777-2313 | 9215 Cincinnati Columbus Rd West Chester OH 45069-4178 Ph: (513) 777-2313 |
| NPI Number | 1780096438 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780096438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30.023387 (Ohio) | Primary |
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