Provider First Line Business Practice Location Address:
1 CHILDRENS PLZ
Provider Second Line Business Practice Location Address:
DAYTON CHILDREN'S MEDICAL CENTER
Provider Business Practice Location Address City Name:
DAYTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45404-1898
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-641-5645
Provider Business Practice Location Address Fax Number:
937-641-5325
Provider Enumeration Date:
11/07/2006