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Organization
KOHLI DENTAL CORP
Active
Organization
KOHLI DENTAL CORP
Active
Other names
NEWARK FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAGANDEEP SINGH KOHLI (DENTIST)
(510) 792-9885
Entity
Organization
Contact information
Practice address
5910 THORNTON AVE STE D, NEWARK, CA 94560-3800
(510) 792-9885
Mailing address
5910 THORNTON AVE STE D, NEWARK, CA 94560-3800
(510) 792-9885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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