Individual
DR. RONALD LOUIS POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7655 5 MILE RD, SUITE 214, CINCINNATI, OH 45230-4326
(513) 232-0550
Mailing address
7655 5 MILE RD, SUITE 214, CINCINNATI, OH 45230-4326
(513) 232-0550
(513) 232-1605
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2901015833
MI
1223P0221X
Pediatric Dentistry
Primary
30019633
OH
1223P0221X
Pediatric Dentistry
604
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354601
—
OH
Enumeration date
01/13/2007
Last updated
07/08/2007
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