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Individual
IAN DAY
Active
Individual
IAN DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1001587-15
WV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28314
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/13/2017
Last updated
08/21/2023
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