| NPI | 1134698525 |
|---|---|
| Former Legal Business Name | DIVIYA KHIRIA DDS INC |
| Entity Type | Organization |
| Authorized Contact | KULDEEP CHARAN Agent 916-382-6638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |