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Organization
IAN M. RAE, DMD SMILE INNOVATIONS
Active
Organization
IAN M. RAE, DMD SMILE INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN M RAE DDS (OWNER)
(937) 879-1321
Entity
Organization
Contact information
Practice address
5150 CEDAR BROOK CT, SPRINGBORO, OH 45066-7405
(937) 879-1321
Mailing address
5150 CEDAR BROOK CT, SPRINGBORO, OH 45066-7405
(937) 879-1321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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