Individual
ANNA KIM MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7790 DAYTON ROAD, SUITE A, FAIRBORN, OH 45324
(937) 864-5022
(937) 864-5061
Mailing address
7790 DAYTON ROAD, SUITE A, FAIRBORN, OH 45324-1957
(937) 864-5022
(937) 864-5061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19414
MA
122300000X
Dentist
Primary
30021001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160576
—
OH
Enumeration date
11/27/2006
Last updated
07/08/2007
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