Individual
MISS ELENA MICHAEL LEBASIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1401 STEFFEN AVE, CINCINNATI, OH 45215-2338
(513) 483-3088
(513) 554-0136
Mailing address
1401 STEFFEN AVE, CINCINNATI, OH 45215-2338
(513) 483-3088
(513) 554-0136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.023935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-023935
OH DDS LICENSE
OH
Enumeration date
01/14/2014
Last updated
03/07/2023
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