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General NPI Number Information
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NPI Number | 1447101118
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Entity Type | Organization
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Legal Business Name | KAMIYA KHATWANI, DDS, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 345 ESTUDILLO AVE STE 205
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4727
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Country | US
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Telephone | 678-908-5072
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Fax |
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Provider Business Mailing Address
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Address Line | 2353 SEACREST CT
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City | SAN LEANDRO
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State | CA
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Zip | 94579-2792
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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 | CHIEF EXECUTIVE OFFICER
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Name | DR. KAMIYA KHATWANI
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Credential | DDS
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Telephone | 206-437-8403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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