Kathuria, Prem K

Kathuria, Prem K is an individual health care provider with primary practice located at 1670 S Hwy 17/92 , Longwood FL 32750-6516. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kathuria, Prem K can be contacted via phone (407) 339-4700.

Contact Information

Primary practice address
1670 S Hwy 17/92 Longwood FL 32750-6516
Fax: (407) 339-7736
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN008196 Florida

Profile Details

NPI number 1336300763
LBN Legal business name Kathuria, Prem K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Jun 18th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336300763 NPPES
Florida MEDICAID 074725400

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