Provider Demographics
NPI:1194839381
Name:KAMIN, CYNTHIA DEBORAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:DEBORAH
Last Name:KAMIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:OH
Mailing Address - Zip Code:45875-2029
Mailing Address - Country:US
Mailing Address - Phone:419-523-3212
Mailing Address - Fax:
Practice Address - Street 1:716 E MAIN ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:OH
Practice Address - Zip Code:45875-2029
Practice Address - Country:US
Practice Address - Phone:419-523-3212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14169122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist