Individual
PEYMAN FATTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3286 PENTAGON PARK BLVD., BEAVERCREEK, OH 45431
(937) 705-0257
Mailing address
3286 PENTAGON PARK BLVD., BEAVERCREEK, OH 45431
(937) 705-0257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-024177
OH
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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