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Individual
DR. RITA S MITBAVKAR
Active
Individual
DR. RITA S MITBAVKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D55662
—
CA
Enumeration date
05/29/2007
Last updated
06/10/2021
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