Individual
KAVITHA PINGALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
987 E ASH ST, #154, PIQUA, OH 45356-4133
(937) 778-0150
(937) 778-4046
Mailing address
987 E ASH ST, #154, PIQUA, OH 45356-4133
(937) 778-0150
(937) 778-4046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.023540
OH
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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