Individual
KOMAL KAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-2619
(419) 525-6723
Mailing address
600 W 3RD ST, MANSFIELD, OH 44906-2633
(419) 522-2619
(419) 525-6723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026667
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2021
Last updated
09/30/2021
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