Individual
MRS. TRICIA MARIE WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA, CDA
Contact information
Practice address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 357-7289
Mailing address
3101 BURNET AVENUE, CINCINNATI, OH 45229
(513) 357-7289
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
EFDA. 00309
OH
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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