# PANKAJ NARKHEDE D D S INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174014179
- **Authorized official:** PANKAJ NARKHEDE DDS (OWNER)
- **Authorized official phone:** (949) 770-0966

## Contact information

- **Practice address:** 24602 RAYMOND WAY STE L, LAKE FOREST, CA 92630-4461
- **Practice address phone:** (949) 770-0966
- **Practice address fax:** (949) 770-2899
- **Mailing address:** 24602 RAYMOND WAY STE L, LAKE FOREST, CA 92630-4461
- **Mailing address phone:** (949) 770-0966
- **Mailing address fax:** (949) 770-2899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 45155 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2018
- **Last updated:** 05/24/2018