Provider Demographics
NPI:1588377659
Name:KHATKAR, KARANVIRINDER SINGH (DDS)
Entity type:Individual
Prefix:
First Name:KARANVIRINDER
Middle Name:SINGH
Last Name:KHATKAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7909 PACIFIC HWY E
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354-9634
Mailing Address - Country:US
Mailing Address - Phone:206-899-8789
Mailing Address - Fax:
Practice Address - Street 1:7909 PACIFIC HWY E
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:WA
Practice Address - Zip Code:98354-9634
Practice Address - Country:US
Practice Address - Phone:206-899-8789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61328474122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist