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Individual

DR. KHALID R CHAUDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6450 NORFOLK CT, LIBERTY TOWNSHIP, OH 45044-9051
(917) 815-6369
Mailing address
6450 NORFOLK CT, LIBERTY TOWNSHIP, OH 45044-9051
(917) 815-6369

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30022036
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2525959
OH
01
310994808057
CARE SOURCE
OH
Enumeration date
09/20/2006
Last updated
10/06/2016
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