Individual
EMYLI PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-7508
(614) 722-5650
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.028294
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165494
—
OH
Enumeration date
02/22/2025
Last updated
04/17/2026
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