Piqua Family Dental, Llc

NPI 1255769105 - Dentist - 122300000X

NPI Details
NPI 1255769105
Enumeration Date 10/30/2013
Last Updated 10/30/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JOHN P JOHN
Position OWNER
Phone (937) 773-4032
Fax
Practice Location
519 W HIGH ST
PIQUA OH, 45356-2147, US
Phone (937) 773-4032
Fax
Business Location
4291 SUGARCREEK DR
BELLBROOK OH, 45305-1330, US
Phone (937) 848-7741
Fax
Toxanomy
Taxonomy Code 122300000X
License State Ohio
License Number 19904
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According to our database, Piqua Family Dental, Llc NPI is 1255769105, taxonomy code is 122300000X and license number is 19904, license state is located at Ohio. Piqua Family Dental, Llc physically located at 519 W High St, Piqua OH, 45356-2147. NPI Number 1033115704 has the healthcare provider type.

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1255769105 NPI number is provided on an as is basis without warranty of any kind. 1255769105 is maintained by the National Plan & Provider Enumeration System. The contents of Piqua Family Dental, Llc are for informational purposes only.