Provider Demographics
NPI:1376739920
Name:KINRA, ASHA JANE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:ASHA
Middle Name:JANE
Last Name:KINRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:ASHA
Other - Middle Name:JANE
Other - Last Name:KAPUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:3024 ASPEN LANE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:917-328-9871
Mailing Address - Fax:
Practice Address - Street 1:146 SOUTH INDUSTRIAL DR.
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176
Practice Address - Country:US
Practice Address - Phone:734-944-3594
Practice Address - Fax:734-944-3597
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD72601223G0001X
MI29010198641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice