Individual
FARNAZ IRANPOUR- BOROUJENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 OLD US-52, NEW RICHMMOND DENTAL ASSOCIATES, NEW RICHMOND, OH 45157
(513) 553-5333
Mailing address
9482 HUNTERS CREEK DR, CINCINNATI, OH 45242-6660
(513) 407-9005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-022055
OH
1223G0001X
General Practice Dentistry
D12048
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2563597
—
OH
Enumeration date
07/16/2006
Last updated
05/22/2008
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