Individual
ASITA JENANI VINAYAGALINGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
18 REMICK BLVD, SPRINGBORO, OH 45066-9168
(937) 350-5379
Mailing address
3721 SHIRAZ CT, BELLBROOK, OH 45305-7505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026663
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2020
Last updated
02/13/2022
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