Afinia Dental Killgore Bridgetown INC
Dentist, General Practice in Cincinnati, OH. Organization (NPI-2).
NPI number1205262045
StatusActive
Last updated in NPPESSep 25, 2013
Details
- NPI
- 1205262045
- Entity type
- Organization (NPI-2)
- Legal business name
- Afinia Dental Killgore Bridgetown INC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2013
- Last updated
- Sep 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 30022880 | OH | Yes |
Practice location
6371 Bridgetown RdCincinnati, OH 45248-2943
Phone 513-746-8228
Mailing address
9415 Fields Ertel RdCincinnati, OH 45249-8212
Phone 513-746-8228
Authorized official
Andrew Michael Killgore
Owner - President
5137399117
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