| Cincinnati Health Dept Crest Smile Shoppe | |
|
612 Rockdale Ave Cincinnati OH 45229-2919 | |
| (513) 352-4072 | |
| (513) 357-7477 |
| Full Name | Cincinnati Health Dept Crest Smile Shoppe |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 612 Rockdale Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Noble Maseru (HEALTH COMMISSIONER) |
| Authorized Official Contact | 5133577280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cincinnati Health Dept Crest Smile Shoppe 3101 Burnet Ave Cincinnati OH 45229-3014 Ph: (513) 357-7280 | Cincinnati Health Dept Crest Smile Shoppe 612 Rockdale Ave Cincinnati OH 45229-2919 Ph: (513) 352-4072 |
| NPI Number | 1073836789 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073836789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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