Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 30022767 | OH |
NPI | 1740446533 |
---|---|
Provider Name | Andrew Aderman |
First Address | Napoleon, OH 43545-9243 |
Second Address | Napoleon, OH 43545-9243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2008 |
Last Update Date | 01/08/2008 |