Kori, Mamta M.

Kori, Mamta M. is an individual health care provider with primary practice located at 3420 Atrium Blvd Ste 100 , Franklin OH 45005-5186. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kori, Mamta M. can be contacted via phone (855) 912-7677.

Contact Information

Primary practice address
3420 Atrium Blvd Ste 100 Franklin OH 45005-5186
Fax: (513) 424-2147
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21541 Ohio

Profile Details

NPI number 1083780159
LBN Legal business name Kori, Mamta M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Oct 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083780159 NPPES
Ohio MEDICAID 2371866

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