| Southwestern Ohio Dental Associates L.l.c. | |
|
11740 Hamilton Ave Suite A Cincinnati OH 45231-1255 | |
| (513) 825-7570 | |
| (513) 825-7999 |
| Full Name | Southwestern Ohio Dental Associates L.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11740 Hamilton Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Gregory A Mcdonald (SOLE PROPRIETER / OWNER) |
| Authorized Official Contact | 5138257570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwestern Ohio Dental Associates L.l.c. 11740 Hamilton Ave Suite A Cincinnati OH 45231-1255 Ph: (513) 825-7570 | Southwestern Ohio Dental Associates L.l.c. 11740 Hamilton Ave Suite A Cincinnati OH 45231-1255 Ph: (513) 825-7570 |
| NPI Number | 1225278971 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 02/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225278971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 18367 (Ohio) | Primary |
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