| Doctor Name: | DR. ANKUR JOHRI |
| NPI Number: | 1013115070 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS, MD |
| License Number: | DS-038193 |
| Business Practice Address: | 1251 S Cedar Crest Blvd Suite 311 Allentown, PA - 181036205 |
| Business Phone Number: | 6108219588 |
| Business Fax Number: | |
| Mailing Address: | 1251 S Cedar Crest Blvd, Suite 311 ALLENTOWN |
| State: | PA |
| Postal Code: | 181036205 |
| Phone Number: | 6104356161 |
| Fax Number: | 6104352902 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 04/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | DS-038193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |