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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Jeffrey L. Kleinman DDS LLC | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 0910492 | [sources] | |||
| NPI | 1528105483 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | 21 - Professional Medical Group | [sources] | |||
| Address | 3609 North Dixie Drive, Dayton, OH 45414 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
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| Address | ||
|---|---|---|
| Full address | Country | |
| 3609 North Dixie Drive, Dayton, OH 45414 | United States | |