| NPI | 1053847426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL-RAHMAN ADDAS General Dentist 513-560-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA DN1856674) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: MA DN21001) |
| 1223P0300X Dentist Periodontics (Licence: MA DN18265) | |
| 1223P0700X Dentist Prosthodontics (Licence: MA DN21722) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |