Individual
THOMAS J BIRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21453
OH
332B00000X
Durable Medical Equipment & Medical Supplies
30.021453
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387251
—
OH
Enumeration date
08/13/2006
Last updated
08/21/2019
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