Individual
DR. SARATH N. BACHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
621 BROADWAY ST, PORTSMOUTH, OH 45662-4788
(740) 370-4234
Mailing address
621 BROADWAY ST, PORTSMOUTH, OH 45662-4788
(740) 370-4234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9096
KY
1223G0001X
General Practice Dentistry
Primary
9096
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100172380
—
KY
Enumeration date
07/20/2011
Last updated
09/12/2014
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