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DR. RAKESH KHILWANI DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1760524367
Individual Registrant:DR. RAKESH KHILWANI DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
183 11 HILLSIDE AVE STE CC JAMAICA ESTATES, NY 11432 US
Tel: 718-523-7910 Fax: --
Tel: 718-523-7910 Fax: --
Contact information for business:
183 11 HILLSIDE AVE STE CC JAMAICA ESTATES, NY 11432 US
Tel: 718-523-7910 Fax: 718-523-1739
Tel: 718-523-7910 Fax: 718-523-1739
Registration Information:
NPI: 1760524367
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | NY | 046228 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 01705559 | NY | 05 |
