Individual
DR. JOEN M IANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
305 W 12TH AVE RM 4171, COLUMBUS, OH 43210-1267
(614) 292-1249
Mailing address
305 W 12TH AVE RM 4171, COLUMBUS, OH 43210-1267
(614) 292-1249
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.018027
OH
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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