Individual
ISHA WATTS KHULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 N UNIVERSITY DR STE 207, TAMARAC, FL 33321-2934
(954) 721-6950
Mailing address
4786 W COMMERCIAL BLVD, TAMARAC, FL 33319-2878
(754) 304-6468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27243
FL
1223G0001X
General Practice Dentistry
RES004820
OH
Other
Enumeration date
06/09/2020
Last updated
11/30/2023
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