Individual
MIA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6175 GLENWAY AVE STE A, CINCINNATI, OH 45211-6337
(513) 318-4775
Mailing address
1726 MONTEREY CT, CINCINNATI, OH 45223-1529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031425
IL
122300000X
Dentist
Primary
30.026876
OH
Other
Enumeration date
10/11/2017
Last updated
09/05/2024
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