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Individual

DR. JALEH ESLAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3533 SOUTHERN BLVD, SUITE 4300, KETTERING, OH 45429-1264
(937) 395-8454
(937) 395-8774
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 914-7044
(937) 522-7595

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35091028
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2823065
OH
Enumeration date
07/04/2006
Last updated
02/08/2012
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