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Individual

DR. HETAL V VAIDYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
21 W HUBBARD AVE, COLUMBUS, OH 43215-1474
(614) 258-3880
(614) 252-5873
Mailing address
CMR 442, HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE, APO, AE 09042

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.026860
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2982107
OH
Enumeration date
09/22/2006
Last updated
12/27/2012
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