Organization
PEYMAN FATTAHI DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEYMAN FATTAHI DDS (DENTIST)
(937) 474-2972
Entity
Organization
Contact information
Practice address
1301 NW WASHINGTON BLVD STE 1, HAMILTON, OH 45013-6309
(513) 868-0669
Mailing address
1340 FLOWERDALE AVE, KETTERING, OH 45429-5102
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30-024177
OH
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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