Individual
DR. ANSHU KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3522 SUNCHASE LN APT 905, ROANOKE, VA 24018-3192
(346) 256-5991
Mailing address
3522 SUNCHASE LN APT 905, ROANOKE, VA 24018-3192
(346) 256-5991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417762
VA
1223G0001X
General Practice Dentistry
0401417762
VA
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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