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Organization
K PANCHAL DENTAL CORPORATION
Active
Organization
K PANCHAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUMUDINI PANCHAL DMD (DENTIST)
(949) 859-3109
Entity
Organization
Contact information
Practice address
27762 VISTA DEL LAGO STE A-9, MISSION VIEJO, CA 92692-1137
(949) 859-3109
Mailing address
27762 VISTA DEL LAGO STE A9, MISSION VIEJO, CA 92692-1137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
11/02/2025
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