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Organization

DRS.JEEVAN & NEELA GHATNEKAR DDS. INC.

Active
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Organization

DRS.JEEVAN & NEELA GHATNEKAR DDS. INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEEVAN VINAYAK GHATNEKAR DDS (PRESIDENT)
(714) 921-9252
Entity
Organization

Contact information

Practice address
1402 INDUSTRIAL PARK AVE, REDLANDS, CA 92374-4517
(909) 798-5777
(909) 798-8877
Mailing address
8295 E MONTE VISTA RD STE B, ANAHEIM, CA 92808-1281
(714) 921-9252
(714) 921-9446

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33425
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33425
STATE LIC. NO.
CA
01
—
39798
STATE LICENSE NO.
CA
Enumeration date
12/05/2007
Last updated
12/05/2007
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