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Organization
IAN M RAE DMD SMILE INNOVATIONS INC
Active
Organization
IAN M RAE DMD SMILE INNOVATIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN RAE DDS (OWNER)
(937) 879-1321
Entity
Organization
Contact information
Practice address
400 E DAYTON YELLOW SPRINGS RD, FAIRBORN, OH 45324-4064
(937) 879-1321
(614) 407-9580
Mailing address
400 E DAYTON YELLOW SPRINGS RD, FAIRBORN, OH 45324-4064
(937) 879-1321
(614) 407-9580
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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