Individual
MAHESWARAN SANJEEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7237 CINCINNATI DAYTON RD, WEST CHESTER, OH 45069-1773
(513) 759-9090
Mailing address
7237 CINCINNATI DAYTON RD, WEST CHESTER, OH 45069-1773
(513) 759-9090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30021115
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2233943
—
OH
01
—
311648378065
CARESOURCE
OH
Enumeration date
10/13/2006
Last updated
04/28/2009
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