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General NPI Number Information
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NPI Number | 1861663551
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Entity Type | Organization
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Legal Business Name | FAMILY DENTISTRY
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 2310 BALTIMORE AVE
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City | CINCINNATI
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State | OH
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Zip | 45225
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Country | US
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Telephone | 513-541-5599
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Fax | 513-541-5599
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Provider Business Mailing Address
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Address Line | PO BOX 36427
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City | CINCINNATI
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State | OH
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Zip | 45236-0427
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. WAMDA L HOOD
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Credential | DDS
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Telephone | 513-541-5599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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