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Organization
A REZA MIREMADI MD DDS LLC
Active
Organization
A REZA MIREMADI MD DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY LAYMASTER (FINANCIAL MANAGER)
(937) 748-8814
Entity
Organization
Contact information
Practice address
576 N MAIN ST, SPRINGBORO, OH 45066-9552
(937) 748-8814
(937) 748-8817
Mailing address
576 N MAIN ST, SPRINGBORO, OH 45066-9552
(937) 748-8814
(937) 748-8817
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
01/10/2008
Last updated
01/09/2014
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