Individual
JITESH VIJAY PIMPALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 313-3112
Mailing address
677 MORNING CLOAK ST UNIT 1, ROSCOE, IL 61073-8842
(734) 773-5378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100853-875
WI
Other
Enumeration date
05/27/2022
Last updated
07/03/2023
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