Organization · Type 2 NPI
Kokila Avasthi DDS PC
Clinic/Center · Park City, IL
NPI number
1346790565
Active
Practice location
401 S Greenleaf Ave, Ste #3
Park City, IL 60085-5744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 019022366 (IL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1346790565
Kokila Avasthi DDS PC's National Provider Identifier is 1346790565, issued on Oct 12, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Park City, IL. The record was last updated on Oct 12, 2016.