Individual
SHWETA KOKATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3946 MINNESOTA AVE NE, WASHINGTON, DC 20019-2661
(202) 397-1033
(202) 397-2104
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 576-1850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1002022
DC
1223G0001X
General Practice Dentistry
DEN1002022
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515862752
ADA
DC
Enumeration date
06/18/2019
Last updated
07/05/2019
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