Individual
MARLIN L DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5103 BELLEFONTAINE RD, DAYTON, OH 45424-4163
(937) 405-3336
Mailing address
5103 BELLEFONTAINE RD, DAYTON, OH 45424-4163
(937) 405-3336
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
RS525863
OH
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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