Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 30.026320 | OH |
NPI | 1205437118 |
---|---|
Provider Name | Kinjal Vora |
First Address | Marion, OH 43302-5913 |
Second Address | Marion, OH 43302-5913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2020 |
Last Update Date | 06/11/2020 |