Individual
NEHA KWATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8955 WOODS ROAD, BLDG 1, 4TH FLOOR RM 4393, BETHESDA, MD 20889-5600
(480) 240-0753
Mailing address
76 NEALY BLVD # 92, HAMPTON, VA 23665-2022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011786
AZ
171000000X
Military Health Care Provider
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2023
Last updated
05/15/2025
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