Individual
SANIYA KAMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 BRICE RD, REYNOLDSBURG, OH 43068-2795
(614) 864-4200
Mailing address
1723 HERITAGE LAKE DR, CENTERVILLE, OH 45458-6067
(937) 901-0943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025805
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2018
Last updated
07/22/2019
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