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Individual

DR. BHUPESH KIRAN MANDALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BDS/DDS

Contact information

Practice address
130 WAYNE FRYE DR, MANCHESTER, OH 45144-9314
(937) 549-1279
(937) 549-1286
Mailing address
6343 TOWNSHIP ROAD 136, FINDLAY, OH 45840-9675
(618) 407-8258

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026273
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0425651
OH
Enumeration date
09/07/2016
Last updated
01/28/2021
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