Individual
MAURINE MUTHONI KINGORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8260 SPRINGBORO PIKE, MIAMISBURG, OH 45342-3707
(937) 434-1708
Mailing address
DEPARTMENT OF MEDICAL EDUCATION: MIAMI VALLEY HOSPITAL, 1 WYOMING STREET, DAYTON, OH 45409
(937) 208-3844
(937) 208-5393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30025661
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2018
Last updated
03/09/2019
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