| Dr Sutinder S Kohli Pa | |
|
464 S Ridgewood Ave Suite#1 Daytona Beach FL 32114-4928 | |
| (386) 255-8866 | |
| (386) 872-7532 |
| Full Name | Dr Sutinder S Kohli Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 464 S Ridgewood Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Sutinder Singh Kohli (DENTIST) |
| Authorized Official Contact | 3862558866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sutinder S Kohli Pa 464 S Ridgewood Ave Suite#1 Daytona Beach FL 32114-4928 Ph: (386) 255-8866 | Dr Sutinder S Kohli Pa 464 S Ridgewood Ave Suite#1 Daytona Beach FL 32114-4928 Ph: (386) 255-8866 |
| NPI Number | 1487867099 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 11/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487867099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN13107 (Florida) | Primary |
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