Individual
DR. AVANI S KHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
21 PEACE ST FL 2, ST. JOSEPH'S HOSPITAL OF SPECIALTY CARE, PROVIDENCE, RI 02907-1510
(401) 456-4441
Mailing address
21 PEACE ST FL 2, ST JOSEPH'S HOSPITAL OF SPECIALTY CARE, PROVIDENCE, RI 02907-1510
(401) 456-4441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855412
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300709
—
MA
Enumeration date
06/22/2010
Last updated
07/02/2013
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