Provider Demographics
NPI:1295725729
Name:KOHLI, KAVITA (DDS)
Entity type:Individual
Prefix:DR
First Name:KAVITA
Middle Name:
Last Name:KOHLI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:495 CENTRAL PARK AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1068
Mailing Address - Country:US
Mailing Address - Phone:914-725-9620
Mailing Address - Fax:914-725-9640
Practice Address - Street 1:495 CENTRAL PARK AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1068
Practice Address - Country:US
Practice Address - Phone:914-725-9620
Practice Address - Fax:914-725-9640
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0496331223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry