Organization
KHYATI PATEL, DDS, LLC
Active
Other names
Baltimore Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KHYATI PATEL (OWNER)
(740) 707-2303
Entity
Organization
Contact information
Practice address
104 S MAIN ST, BALTIMORE, OH 43105-1426
(740) 500-4746
Mailing address
104 S MAIN ST, BALTIMORE, OH 43105-1426
(740) 500-4746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.023399
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113465
—
OH
Enumeration date
05/05/2015
Last updated
07/12/2024
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