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 |