Individual
AVANI HIRALAL KHATRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
297 HIGHWAY 51 STE D, RIDGELAND, MS 39157-3423
(601) 856-4428
Mailing address
205 VENETIAN CV, MADISON, MS 39110-6637
(207) 341-6542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3980-18
MS
1223G0001X
General Practice Dentistry
DEN-9511
CO
1223P0221X
Pediatric Dentistry
Primary
3980-18
MS
Other
Enumeration date
08/10/2007
Last updated
04/28/2020
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