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2720 E 3rd St Dayton OH 45403-2102 | |
| (937) 815-1911 | |
| (937) 630-3603 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 2720 E 3rd St, Dayton, Ohio |
| Authorized Official Name and Position | Rhonda Felecia Smith (DIRECTOR) |
| Authorized Official Contact | 9375207889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1101 Larona Rd Trotwood OH 45426-2574 Ph: (937) 520-7889 | 2720 E 3rd St Dayton OH 45403-2102 Ph: (937) 815-1911 |
| NPI Number | 1063027951 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063027951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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