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1760491401
ADVANCED DERMATOLOGY OF OHIO, INC
MASON, OH
NPI
1760491401
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Entity Type
Organization
Authorized Contact
AMY E DECLUE
Director, Provider Services
407-875-2080
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-08-05
Last Update Date
2023-10-25
Business Address
ADVANCED DERMATOLOGY OF OHIO, INC
4834 SOCIALVILLE FOSTER RD STE 20
MASON, OH 45040-6827
Phone number: 513-459-1988
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Mailing Address
ADVANCED DERMATOLOGY OF OHIO, INC
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7176
Phone number: 407-875-2080
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