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Individual

DR. ANDRE H. HAERIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS, FRCD, PHD

Contact information

Practice address
6407 MONROE STREET, SYLVANIA, OH 43560
(419) 882-1017
(419) 882-7571
Mailing address
6407 MONROE STREET, SYLVANIA, OH 43560
(419) 882-1017
(419) 882-7571

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
16705
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30020217
OH

Other

Enumeration date
03/27/2007
Last updated
10/16/2012
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