Individual
MEGHRAJSINH V ATODARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
44 MAIN ST STE 400, RICHFORD, VT 05476-1141
(802) 255-5581
(802) 255-5589
Mailing address
811 BEAUMONT DR APT 106, NAPERVILLE, IL 60540-2012
(909) 312-9957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0133901
VT
122300000X
Dentist
019.031578
IL
1223G0001X
General Practice Dentistry
DEN4587
ME
Other
Enumeration date
07/03/2017
Last updated
06/10/2019
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