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General NPI Number Information
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NPI Number | 1073422887
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Entity Type | Organization
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Legal Business Name | KISHEN GODHIA DDS INC
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Dates
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Enumeration Date | 09/05/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | 113 WATERWORKS WAY STE 260
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City | IRVINE
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State | CA
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Zip | 92618-3169
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Country | US
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Telephone | 858-248-7013
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Fax |
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Provider Business Mailing Address
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Address Line | 105 SCHICK
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City | IRVINE
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State | CA
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Zip | 92614-0528
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KISHEN D GODHIA
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Credential | DDS
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Telephone | 858-248-7013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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