Provider Demographics
NPI:1033543814
Name:KHURANA, NIDHI (DDS)
Entity Type:Individual
Prefix:
First Name:NIDHI
Middle Name:
Last Name:KHURANA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PALM CT
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4308
Mailing Address - Country:US
Mailing Address - Phone:609-529-8557
Mailing Address - Fax:
Practice Address - Street 1:101 S WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:LINDENWOLD
Practice Address - State:NJ
Practice Address - Zip Code:08021-2304
Practice Address - Country:US
Practice Address - Phone:856-566-7466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI025463001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice