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Individual

LAKEISHA BHOOLAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1505 ELM ST, CINCINNATI, OH 45202-6906
(513) 357-7382
Mailing address
3101 BURNET AVE, CINCINNATI, OH 45229-3014

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31.011441
OH

Other

Enumeration date
02/10/2020
Last updated
02/10/2020
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