Lily Etemad Etemad

NPI #1851999015 in Pickerington, Ohio

Provider Information

NPI Number: 1851999015
Entity Type: Individual
Name: Lily Etemad Etemad
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 10, 2020
Last Updated: Oct 10, 2020

Practice Location

Address: 1600 CROSS CREEKS BLVD
City: Pickerington
State: Ohio
ZIP Code: 43147-8189
Phone: (614) 292-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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