| Winchester Dental Llc | |
|
6418 Winchester Blvd Canal Winchester OH 43110-2005 | |
| (614) 834-1834 | |
| Not Available |
| Full Name | Winchester Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 6418 Winchester Blvd, Canal Winchester, Ohio |
| Authorized Official Name and Position | Ladan Pourmoghadam (OWNER) |
| Authorized Official Contact | 6145060740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winchester Dental Llc 6418 Winchester Blvd Canal Winchester OH 43110-2005 Ph: () - | Winchester Dental Llc 6418 Winchester Blvd Canal Winchester OH 43110-2005 Ph: (614) 834-1834 |
| NPI Number | 1306216247 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 10/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306216247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30018271 (Ohio) | Primary |
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