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Organization

MANRAJ S. BATH, DDS, INC.

Active
Other names
Pickerington Manor Jaw & Facial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MANRAJ S. BATH DMD (ORAL & MAXILLOFACIAL SURGEON)
(614) 751-7500
Entity
Organization

Contact information

Practice address
1575 CROSS CREEKS BLVD., PICKERINGTON, OH 43147
(614) 751-7500
(614) 322-7900
Mailing address
1575 CROSS CREEKS BLVD, PICKERINGTON, OH 43147
(614) 751-7500
(614) 322-7900

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20162
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
20162
OH

Other

Enumeration date
08/21/2012
Last updated
07/01/2016
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