Individual
JANA MARIE IMPERIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11333 SPRINGFIELD PIKE, CINCINNATI, OH 45246-4201
(513) 772-0722
Mailing address
10 N CHERRY ST, APT. 2, LEBANON, OH 45036-2481
(614) 296-2766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-022566
OH
Other
Enumeration date
07/27/2007
Last updated
04/07/2009
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