Provider Demographics
NPI:1699523266
Name:KRITIH PRIVATE LLC
Entity type:Organization
Organization Name:KRITIH PRIVATE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:HARDIK
Authorized Official - Middle Name:J
Authorized Official - Last Name:KUNDARIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-310-0254
Mailing Address - Street 1:3112 S CONGRESS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2544
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3112 S CONGRESS AVE STE B
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2544
Practice Address - Country:US
Practice Address - Phone:561-296-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental