Organization
YATIN KHANNA DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YATIN KHANNA DDS (PRESIDENT)
(718) 915-3713
Entity
Organization
Contact information
Practice address
98 JAMES ST STE 303, EDISON, NJ 08820-3902
(732) 548-4172
(866) 894-5881
Mailing address
1 RIVER CT APT 2206, JERSEY CITY, NJ 07310-2009
(718) 915-3713
(866) 894-5881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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