Organization · NPI-2

A Reza Miremadi MD DDS LLC

Dentist, Oral and Maxillofacial Surgery · Springboro, OH

NPI number1053597930
StatusActive
Last updated in NPPESJan 9, 2014

Details

NPI
1053597930
Entity type
Organization (NPI-2)
Legal business name
A Reza Miremadi MD DDS LLC
Organization subpart
No
Enumeration date
Jan 10, 2008
Last updated
Jan 9, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial Surgery––Yes
204E00000X Oral & Maxillofacial Surgery––

Practice location

576 N Main St
Springboro, OH 45066-9552

Phone 937-748-8814 · Fax 937-748-8817

Mailing address

576 N Main St
Springboro, OH 45066-9552

Phone 937-748-8814 · Fax 937-748-8817

Authorized official

Cindy Laymaster
Financial Manager
9377488814

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