Individual
DR. KRISHNA ANIL GHEEWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8811 E RENO AVE STE 103, MIDWEST CITY, OK 73110-7726
(405) 732-2660
Mailing address
3440 LAKESIDE DR, OKLAHOMA CITY, OK 73160-2725
(580) 743-1003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7704
OK
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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