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Individual

LIZA H POND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MSD

Contact information

Practice address
714 S DIXIE DR, VANDALIA, OH 45377-2540
(937) 890-7470
Mailing address
4966 ASHWYCK PL, KETTERING, OH 45429-1902
(937) 298-5178

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18911
OH

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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