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Organization

KMK DENTAL PC

Active
Other names
K P Khakhar
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAUSHIK P KHAKHAR DDS (OWNER)
(718) 786-4175
Entity
Organization

Contact information

Practice address
4321 GREENPOINT AVE, SUNNYSIDE, NY 11104
(718) 786-4175
(718) 786-7577
Mailing address
4321 GREENPOINT AVE, SUNNYSIDE, NY 11104
(718) 786-4175
(718) 786-7577

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
033307

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02576736
NY
Enumeration date
06/22/2007
Last updated
07/24/2007
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