Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 30025319 | OH |
N | 213EG0000X | General Practice | 30025319 | OH |
Y | 1223P0700X | Prosthodontist | 30025319 | OH |
NPI | 1184912016 |
---|---|
Provider Name | Dr. Sasha Dannette Valentin |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2011 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0309011 | (05) | OH |