| NPI | 1699259606 |
|---|---|
| Doing Business As | FAMILY DENTISTRY OF BLUE ASH |
| Entity Type | Organization |
| Authorized Contact | TY JUSTICE Director, Credentialing & Payer Rel 513-808-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2023-01-06 |