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General NPI Number Information
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NPI Number | 1285551945
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Entity Type | Organization
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Legal Business Name | KHALSA KIDS LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 4100 S LINDSAY RD STE 106
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City | GILBERT
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State | AZ
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Zip | 85297-1507
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Country | US
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Telephone | 480-963-4636
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Fax |
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Provider Business Mailing Address
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Address Line | 8103 E PALOMA AVE
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City | MESA
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State | AZ
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Zip | 85212-9052
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Country | US
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Telephone | 480-290-8428
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. HAPPY GREWAL
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Credential | DDS
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Telephone | 480-290-8428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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