Individual
DR. JAGDISH R KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1900 GENESEE ST, UTICA, NY 13502-5635
(315) 735-7278
Mailing address
PO BOX 8078, UTICA, NY 13505-8078
(315) 735-7278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034554
NY
Other
Enumeration date
10/13/2005
Last updated
12/16/2013
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