Provider Demographics
NPI:1699839928
Name:KINRA, NEIL (DDS)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:KINRA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 S INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-9493
Mailing Address - Country:US
Mailing Address - Phone:734-944-3594
Mailing Address - Fax:734-944-3597
Practice Address - Street 1:146 S INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-9493
Practice Address - Country:US
Practice Address - Phone:734-944-3594
Practice Address - Fax:734-944-3597
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019197122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist