Afinia Dental - Killgore Fields Ertel INC.
Dentist, General Practice in Cincinnati, OH. Organization (NPI-2).
NPI number1801158092
StatusActive
Last updated in NPPESJun 13, 2012
Details
- NPI
- 1801158092
- Entity type
- Organization (NPI-2)
- Legal business name
- Afinia Dental - Killgore Fields Ertel INC.
- Organization subpart
- No
- Enumeration date
- Jun 13, 2012
- Last updated
- Jun 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 30022880 | OH | Yes |
Practice location
9415 Fields Ertel RdCincinnati, OH 45249-8212
Phone 513-777-9117 · Fax 513-843-7830
Mailing address
792 Eastgate South Dr Ste 250Cincinnati, OH 45245-1563
Phone 513-777-9117 · Fax 513-843-7830
Authorized official
Andrew Michael Killgore
Owner/President
5137779117
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