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NPI Code Detail

MEDICARE: MANJINDER KAUR KHAIRA

MEDICARE: MANJINDER KAUR KHAIRA
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
1122300000XDentist2901602421MI
21223G0001XGeneral Practice Dentistry019.035110IL

General Provider Information

NPI Number : 1821838657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANJINDER KAUR KHAIRA
Provider Business Mailing Address
First Line : 32750 CARDINAL LN
Second Line :
City : WAYNE
State : MI
Zip : 48184-2559
Country : US
Telephone Number : 734-306-8444
Fax Number :
Provider Business Practice Location Address
First Line : 26500 W HURON RIVER DR
Second Line :
City : FLAT ROCK
State : MI
Zip : 48134-1135
Country : US
Telephone Number : 815-748-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 10/13/2025

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Directions to “ MANJINDER KAUR KHAIRA ” Practice Location

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