Individual
IAN MELVILLE RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5538 PHILADELPHIA DR, DAYTON, OH 45415-3062
(937) 278-0703
Mailing address
2281 COBBLESTONE CT, MIAMISBURG, OH 45342-5747
(937) 847-9359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-022135
OH
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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