| Marysville Endodontics, Llc | |
|
445 Allenby Dr Marysville OH 43040-8722 | |
| (937) 642-2700 | |
| Not Available |
| Full Name | Marysville Endodontics, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 445 Allenby Dr, Marysville, Ohio |
| Authorized Official Name and Position | Deron Reisman (PRESIDENT) |
| Authorized Official Contact | 9376422700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marysville Endodontics, Llc 445 Allenby Dr Marysville OH 43040-8722 Ph: (937) 642-2700 | Marysville Endodontics, Llc 445 Allenby Dr Marysville OH 43040-8722 Ph: (937) 642-2700 |
| NPI Number | 1407092125 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 12/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407092125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 30020157 (Ohio) | Primary |
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