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Mortenson Family Dental Center - Landen LLC

Dentist, General Practice in Maineville, OH. Organization (NPI-2).

NPI number1154875292
StatusActive
Last updated in NPPESAug 6, 2016

Details

NPI
1154875292
Entity type
Organization (NPI-2)
Legal business name
Mortenson Family Dental Center - Landen LLC
Organization subpart
No
Enumeration date
Aug 6, 2016
Last updated
Aug 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

3116 W Us 22 And 3
Maineville, OH 45039-8103

Phone 513-334-4060 · Fax 513-453-7175

Mailing address

3116 W Us 22 And 3
Maineville, OH 45039-8103

Phone 513-334-4060 · Fax 513-453-7175

Authorized official

Stephen James
Cfo
5022548500

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