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Individual

JAMES P BIRONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1040 TRUMP ROAD, ST A, CARROLLTON, OH 44615
(330) 627-5666
(330) 627-7889
Mailing address
PO BOX 297, 1040 TRUMP ROAD ST A, CARROLLTON, OH 44615
(330) 627-5666
(330) 627-7889

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13637
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0541328
OH
Enumeration date
08/12/2006
Last updated
07/08/2007
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