Organization Name: | K&K ENDODONTICS LLC |
NPI Number: | 1780058388 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEETU KOHLI (OWNER PARTNER) |
Mailing Address: | 1831 Swamp Pike Ste 101 Gilbertsville |
State: | PA US |
Postal Code: | 195258927 |
Phone Number: | 4849498917 |
Fax Number: | 4849498937 |
NPI Enumeration Date: | 11/19/2015 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | DS035529 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |