Individual
ASHOO KHANUJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MD
Contact information
Practice address
6701 ROCKSIDE RD, SUITE #209, INDEPENDENCE, OH 44131-2358
(216) 328-1234
(216) 328-1229
Mailing address
6701 ROCKSIDE RD, SUITE #209, INDEPENDENCE, OH 44131-2358
(216) 328-1234
(216) 328-1229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21566
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
35076890K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23321400
—
OH
Enumeration date
02/07/2007
Last updated
08/19/2008
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