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Individual

ABHINAV BHATNAGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
31 E MAIN ST, SHELBY, OH 44875-1262
(419) 525-6797
(419) 525-6723
Mailing address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-2619
(419) 525-6723

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026245
OH
122300000X
Dentist
DN1858495
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0414535
OH
Enumeration date
09/05/2019
Last updated
10/12/2020
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