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NPI Code Detail

MEDICARE: DR. MALIKA KOHLI DMD, MS,CAGS

MEDICARE:  DR. MALIKA  KOHLI  DMD, MS,CAGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401413056VA
21223P0300XPeriodontics0401413056MA

General Provider Information

NPI Number : 1588815005
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MALIKA KOHLI DMD, MS,CAGS
Provider Business Mailing Address
First Line : 2407 COLUMBIA PIKE
Second Line : #280
City : ARLINGTON
State : VA
Zip : 22204-4469
Country : US
Telephone Number : 571-312-4111
Fax Number : 571-312-4133
Provider Business Practice Location Address
First Line : 2407 COLUMBIA PIKE
Second Line : #280
City : ARLINGTON
State : VA
Zip : 22204-4469
Country : US
Telephone Number : 571-312-4111
Fax Number : 571-312-4133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2008
Last Update Date : 11/19/2024

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Directions to “ DR. MALIKA KOHLI DMD, MS,CAGS” Practice Location

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