Individual
RIDDHI KSHATRIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2419 CHRISTMASVILLE CV, JACKSON, TN 38305-9592
(731) 681-2459
Mailing address
110 HOSPITALITY AVE, BOONEVILLE, MS 38829-1006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11006
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2018
Last updated
03/07/2023
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