Individual
DR. BENJAMIN R. LAMIELLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7777 U.S. RT. 23, PIKETON, OH 45661
(740) 289-3508
Mailing address
7777 U.S. RT. 23, PIKETON, OH 45661
(740) 289-3508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30021978
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2498006
—
OH
Enumeration date
04/11/2006
Last updated
07/08/2007
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