Provider First Line Business Practice Location Address:
ONE CHILDREN'S PLAZA
Provider Second Line Business Practice Location Address:
DAYTON PEDIATRIC DENTISTRY
Provider Business Practice Location Address City Name:
DAYTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-641-3455
Provider Business Practice Location Address Fax Number:
937-641-5448
Provider Enumeration Date:
07/26/2006