Organization
DENESH K KHULLAR DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENESH KHULLAR D.D.S. (PRESIDENT)
(501) 753-7366
Entity
Organization
Contact information
Practice address
2524 CRESTWOOD RD STE 2, NORTH LITTLE ROCK, AR 72116-7648
(501) 753-7366
Mailing address
PO BOX 241763, LITTLE ROCK, AR 72223-0014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3448
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y667
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/09/2009
Last updated
09/09/2009
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