JAN S LABEDA D.D.S.INC. NPI 1588787352

NPI Information

JAN S LABEDA D.D.S.,INC. is a dental clinic center in Batavia, OH. JAN S LABEDA D.D.S.,INC. NPI is 1588787352. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastgate Dental Care.

The provider's business location address is:

2520 ST RT 50
BATAVIA, OH
ZIP 45103
Phone: (513) 732-6660

The provider's authorized official is Jan S Labeda .
The authorized official title is President and has the following contact phone number (513) 732-6660.

The CLIA number assigned to this NPI record is 36D1068827 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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