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General NPI Number Information
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NPI Number | 1457248999
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Entity Type | Organization
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Legal Business Name | KHERA DENTAL CORPORATION
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 440 E CALAVERAS BLVD
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City | MILPITAS
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State | CA
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Zip | 95035-5412
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Country | US
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Telephone | 408-946-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 292 APPIAN WAY
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City | UNION CITY
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State | CA
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Zip | 94587-3706
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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 | PRESIDENT
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Name | GAGANJOT KAUR KHERA
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Credential | DDS
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Telephone | 510-953-1276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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