Provider Demographics
NPI:1639254238
Name:KHEHRA, HARJIT CONNIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARJIT
Middle Name:CONNIE
Last Name:KHEHRA
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 1:1172 MURPHY AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2429
Mailing Address - Country:US
Mailing Address - Phone:408-436-8565
Mailing Address - Fax:408-436-8854
Practice Address - Street 1:1172 MURPHY AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2429
Practice Address - Country:US
Practice Address - Phone:408-436-8565
Practice Address - Fax:408-436-8854
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54507122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist