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Individual

DR. NISHITA SURENDRA GOHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 N DIRKSEN PKWY, SPRINGFIELD, IL 62702-1407
(217) 492-1400
Mailing address
2656 WINTER PARK RD, ROCHESTER HILLS, MI 48309-1352
(248) 633-5609

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033221
IL

Other

Enumeration date
06/17/2021
Last updated
06/17/2021
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