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Organization
KROTHAPALLI DENTAL GROUP PATASKALA LLC
Active
Organization
KROTHAPALLI DENTAL GROUP PATASKALA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANARAO KROTHAPALLI (DENTIST)
(617) 223-1652
Entity
Organization
Contact information
Practice address
186 E BROAD ST, PATASKALA, OH 43062-8527
(740) 951-0479
Mailing address
186 E BROAD ST, PATASKALA, OH 43062-8527
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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