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NPI Code Detail

MEDICARE: JASMINA MARIC DMD

MEDICARE: JASMINA MARIC DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30.026308OH

General Provider Information

NPI Number : 1184237984
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINA MARIC DMD
Provider Business Mailing Address
First Line : 1291 KEMPER MEADOW DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-1633
Country : US
Telephone Number : 513-648-9900
Fax Number :
Provider Business Practice Location Address
First Line : 6519 GREENOAK DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-1413
Country : US
Telephone Number : 513-473-6085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2020
Last Update Date : 08/31/2020

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Directions to “ JASMINA MARIC DMD” Practice Location

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