Provider Demographics
NPI:1184650335
Name:KHARA, AMARDEEP TONY (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMARDEEP
Middle Name:TONY
Last Name:KHARA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:158 VILLAGE WALK DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7679
Mailing Address - Country:US
Mailing Address - Phone:919-577-9009
Mailing Address - Fax:919-762-1860
Practice Address - Street 1:158 VILLAGE WALK DR
Practice Address - Street 2:SUITE 205
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-7679
Practice Address - Country:US
Practice Address - Phone:919-577-9009
Practice Address - Fax:919-762-1860
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC80961223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics