Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 30-022466 | OH |
NPI | 1083747497 |
---|---|
Provider Name | Dr. Eeman Dajani |
First Address | Dayton, OH 45414-2078 |
Second Address | Greenville, OH 45331-1180 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 14/06/2011 |