DR. Kokila Avasthi, DDS

NPI #1114091303 in Park City, Illinois

Provider Information

NPI Number: 1114091303
Entity Type: Individual
Name: DR. Kokila Avasthi, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 401 GREENLEAF AVE
Address 2: SUITE 3
City: Park City
State: Illinois
ZIP Code: 60085-5744
Phone: (847) 662-8341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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