Individual
DIVYA KHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
585 STEWART AVE STE LL60, GARDEN CITY, NY 11530-4786
(516) 222-5100
Mailing address
585 STEWART AVE STE LL60, GARDEN CITY, NY 11530-4786
(516) 222-5100
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
059341
NY
Other
Enumeration date
03/16/2015
Last updated
04/12/2018
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