Ohio Dental Professionals, Delisle, P.C.
Dentist, General Practice in Cincinnati, OH. Organization (NPI-2).
NPI number1689340895
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1689340895
- Entity type
- Organization (NPI-2)
- Legal business name
- Ohio Dental Professionals, Delisle, P.C.
- Organization subpart
- Yes
- Enumeration date
- Aug 18, 2021
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Afinia Dental - Mason (Doing Business As)
Practice location
9415 Fields Ertel RdCincinnati, OH 45249-8212
Phone 513-746-8228
Mailing address
9415 Fields Ertel RdCincinnati, OH 45249-8212
Phone 513-746-8228
Authorized official
Tabatha Lemke
Credentialing Coordinator
2175406078
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