| Organization Name: | A REZA MIREMADI MD DDS LLC |
| NPI Number: | 1053597930 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY LAYMASTER (FINANCIAL MANAGER) |
| Mailing Address: | 576 N Main St Springboro |
| State: | OH US |
| Postal Code: | 450669552 |
| Phone Number: | 9377488814 |
| Fax Number: | 9377488817 |
| NPI Enumeration Date: | 01/10/2008 |
| NPI Last Update Date: | 01/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |