Provider Demographics
NPI:1972121432
Name:KARTHIK, MEENALI KHARE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEENALI
Middle Name:KHARE
Last Name:KARTHIK
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 1:4125 S SETTLER DR # BB286
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-5492
Mailing Address - Country:US
Mailing Address - Phone:408-218-5753
Mailing Address - Fax:
Practice Address - Street 1:5204 ROAD 68 STE B
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-9275
Practice Address - Country:US
Practice Address - Phone:509-547-9955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA610780861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice