| Krothapalli Dental Group Pataskala Llc | |
|
186 E Broad St Pataskala OH 43062-8527 | |
| (740) 951-0479 | |
| Not Available |
| Full Name | Krothapalli Dental Group Pataskala Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 186 E Broad St, Pataskala, Ohio |
| Authorized Official Name and Position | Nanarao Krothapalli (DENTIST) |
| Authorized Official Contact | 6172231652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krothapalli Dental Group Pataskala Llc 186 E Broad St Pataskala OH 43062-8527 Ph: () - | Krothapalli Dental Group Pataskala Llc 186 E Broad St Pataskala OH 43062-8527 Ph: (740) 951-0479 |
| NPI Number | 1740797117 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740797117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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