Individual
ARCHANA NALLASIVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4122 HUNT RD, BLUE ASH, OH 45236-1159
(513) 828-6708
Mailing address
4122 HUNT RD, BLUE ASH, OH 45236-1159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027229
OH
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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