IndividualActive
Kokila Avasthi, DDS
NPI 1114091303 · Dentist · Park City, IL
Provider details
- NPI number
- 1114091303
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
401 Greenleaf Ave
Suite 3
Park City, IL 60085-5744
Phone: (847) 662-8341
Fax: (847) 662-8360
Approximate (ZIP-level) locationGet directions
Mailing address
401 Greenleaf Ave
Park City, IL 60085-5744
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.