Individual
SUMMIYA IJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
658 CORWIN NIXON BLVD, SOUTH LEBANON, OH 45065-1248
(513) 494-3111
Mailing address
658 CORWIN NIXON BLVD, SOUTH LEBANON, OH 45065-1248
(513) 494-3111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.028046
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/10/2024
Last updated
06/03/2025
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