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NPI Code Detail

MEDICARE: NEW RICHMOND DENTAL ASSOCIATES

MEDICARE: NEW RICHMOND DENTAL ASSOCIATES
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
1122300000XDentist

General Provider Information

NPI Number : 1407023559
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW RICHMOND DENTAL ASSOCIATES
Provider Business Mailing Address
First Line : 1041 OLD US 52
Second Line :
City : NEW RICHMOND
State : OH
Zip : 45157-9703
Country : US
Telephone Number : 513-553-5333
Fax Number : 513-553-5999
Provider Business Practice Location Address
First Line : 1041 OLD US 52
Second Line : SUITE H & I
City : NEW RICHMOND
State : OH
Zip : 45157-9703
Country : US
Telephone Number : 513-553-5333
Fax Number : 513-553-5999
Authorized Official
Title or Position : PRESIDENT
Name : DR. FARNAZ IRANPOUR BOROUJENI
Credential : DDS
Telephone Number : 513-553-5999
Provider Enumeration Date : 05/08/2008
Last Update Date : 05/08/2008

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Directions to “NEW RICHMOND DENTAL ASSOCIATES ” Practice Location

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