Organization
EZIS & BLUME DDS, MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY DENNIS (BUSINESS MANAGER)
(513) 871-8488
Entity
Organization
Contact information
Practice address
4030 SMITH RD, SUITE 225, CINCINNATI, OH 45209-1957
(513) 871-8488
(513) 871-8490
Mailing address
4030 SMITH RD, SUITE 225, CINCINNATI, OH 45209-2207
(513) 871-8488
(513) 871-8490
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30-01-4284
OH
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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