Organization
PEDIATRIC DENTISTRY OF GLUCKSTADT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVANI KHATRI DDS (OWNER)
(769) 567-1807
Entity
Organization
Contact information
Practice address
154 CALHOUN STATION PKWY STE F, GLUCKSTADT, MS 39110-5544
(769) 567-1807
(769) 567-1620
Mailing address
154 CALHOUN STATION PKWY STE F, GLUCKSTADT, MS 39110-5544
(769) 567-1807
(769) 567-1620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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