Individual
MARY POREMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5550 VENTURE DR, PARMA, OH 44130-9315
(216) 201-2001
Mailing address
5550 VENTURE DR, PARMA, OH 44130-9315
(216) 201-2001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31.006863
OH
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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