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1758 Commerce Center Blvd Ste B Fairborn OH 45324-6358 | |
| (937) 879-9906 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1758 Commerce Center Blvd Ste B, Fairborn, Ohio |
| Authorized Official Name and Position | Kerri Beedy-storts (DENTIST) |
| Authorized Official Contact | 9372074328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2825 Broadview Dr Springfield OH 45505-3405 Ph: (937) 207-4328 | 1758 Commerce Center Blvd Ste B Fairborn OH 45324-6358 Ph: (937) 879-9906 |
| NPI Number | 1689484438 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689484438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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