Individual
RONNIE REYES MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 BURNET AVE, MLC 2006, CINCINNATI, OH 45229-3026
(513) 636-4641
(513) 636-8283
Mailing address
3333 BURNET AVE, MLC 2006, CINCINNATI, OH 45229
(513) 636-4641
(513) 636-8283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026077
OH
1223G0001X
General Practice Dentistry
Primary
30.026077
OH
1223P0221X
Pediatric Dentistry
30.026077
OH
Other
Enumeration date
04/01/2019
Last updated
07/28/2020
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