Individual
JESSICA REVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 357-7289
Mailing address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 357-7289
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
216218
OH
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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