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Individual

MR. KAUSHIK P KHAKHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4321 GREENPOINT AVE, SUNNYSIDE, NY 11104-3605
(718) 786-4175
(718) 786-7577
Mailing address
203 HARBOR VIEW DRIVE, PORT WASHINGTON, NY 11050
(516) 767-3189
(718) 786-7577

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
033307
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00333106
NY
Enumeration date
08/03/2006
Last updated
07/08/2007
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