Organization
SOUTHERN OHIO ENDODONTICS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERON REISMAN (PRESIDENT)
(740) 774-6230
Entity
Organization
Contact information
Practice address
31 N PLAZA BLVD, CHILLICOTHE, OH 45601-1759
(740) 774-6230
(740) 774-6326
Mailing address
31 N PLAZA BLVD, CHILLICOTHE, OH 45601-1759
(740) 774-6230
(740) 774-6326
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
20157
OH
Other
Enumeration date
03/18/2007
Last updated
08/22/2020
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