Organization
MARYSVILLE ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERON REISMAN D.D.S., M.S. (PRESIDENT)
(937) 642-2700
Entity
Organization
Contact information
Practice address
445 ALLENBY DR, MARYSVILLE, OH 43040-8722
(937) 642-2700
Mailing address
445 ALLENBY DR, MARYSVILLE, OH 43040-8722
(937) 642-2700
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
30020157
OH
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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