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Individual

HELEN MENGSTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
675 PRICE RD, NEWARK, OH 43055-9506
(740) 349-6535
Mailing address
675 PRICE RD, NEWARK, OH 43055-9506

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31.014977
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31-6400074
OH
Enumeration date
09/07/2017
Last updated
09/07/2017
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