Individual
HEMALI KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.P.H.
Contact information
Practice address
124 W THOMAS RD STE 320, PHOENIX, AZ 85013-4415
(602) 406-3560
Mailing address
124 W THOMAS RD STE 320, PHOENIX, AZ 85013-4415
(602) 406-3560
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D00000
AZ
Other
Enumeration date
09/12/2012
Last updated
02/28/2017
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