Provider Demographics
NPI:1861144834
Name:AFFORDABLE DENTURES - CINCINNATI-COLERAIN, MONTHER HAMDAN, DDS, INC.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES - CINCINNATI-COLERAIN, MONTHER HAMDAN, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMDAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-648-9479
Mailing Address - Street 1:3659 STONECREEK BLVD SUITE A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1465
Mailing Address - Country:US
Mailing Address - Phone:513-648-9479
Mailing Address - Fax:
Practice Address - Street 1:3659 STONECREEK BLVD SUITE A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1465
Practice Address - Country:US
Practice Address - Phone:513-648-9479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty