Individual
DR. TIAMARIE NICOLE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4775 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-4313
(614) 824-5454
Mailing address
4775 KNIGHTSBRIDGE BLVD STE 101, COLUMBUS, OH 43214-4313
(614) 824-5454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-022567
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
OH
Enumeration date
07/13/2007
Last updated
09/18/2019
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