Individual
KRISHNA JITENDRA CHEVLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CENTRAL PARK DR APT 508, OKLAHOMA CITY, OK 73105-1728
(405) 889-0154
Mailing address
500 CENTRAL PARK DR APT 508, OKLAHOMA CITY, OK 73105-1728
(405) 889-0154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7599
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000
—
OK
Enumeration date
06/29/2022
Last updated
06/29/2022
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