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 |