Individual
ANAMIKA REEYA KHOSLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 HULL ST APT 405, RICHMOND, VA 23224-4205
(713) 823-4216
Mailing address
24911 LAGUNA EDGE DR, KATY, TX 77494-3923
(713) 823-4216
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418362
VA
1223G0001X
General Practice Dentistry
37429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019.033312
ILLINOIS LICENSE
IL
01
—
0401418362
VIRGINIA LICENSE
VA
01
—
37429
TEXAS LICENSE
TX
Enumeration date
07/09/2021
Last updated
06/29/2023
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