Individual
KANIKA MANCHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6132 W CREEK RD, INDEPENDENCE, OH 44131-2130
(216) 524-8481
Mailing address
58 SILO RIDGE RD S, ORLAND PARK, IL 60467-7380
(708) 949-1282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30026605
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922005743
DENTAL OFFICE NPI
OH
Enumeration date
04/28/2021
Last updated
07/10/2024
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