Individual
DIANA ELSIE WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
411 OAK ST, CINCINNATI, OH 45219-2504
(513) 984-1800
Mailing address
411 OAK ST, CINCINNATI, OH 45219-2504
(513) 984-1800
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402202865
VA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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