Nguyen Blue Ash Modern Dentistry Pc, Inc. | |
4122 Hunt Rd Blue Ash OH 45236-1159 | |
(513) 828-6708 | |
(513) 826-1072 |
Full Name | Nguyen Blue Ash Modern Dentistry Pc, Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 4122 Hunt Rd, Blue Ash, Ohio |
Authorized Official Name and Position | Scott Knapke (OWNER) |
Authorized Official Contact | 5138286708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nguyen Blue Ash Modern Dentistry Pc, Inc. Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Nguyen Blue Ash Modern Dentistry Pc, Inc. 4122 Hunt Rd Blue Ash OH 45236-1159 Ph: (513) 828-6708 |
NPI Number | 1619625134 |
---|---|
Provider Enumeration Date | 03/14/2022 |
Last Update Date | 03/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619625134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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