# P KANSAGRA DDS INC

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

## Provider details

- **NPI number:** 1508343476
- **Authorized official:** PARIMAL KANSAGRA DDS (OWNER)
- **Authorized official phone:** (714) 974-5599

## Contact information

- **Practice address:** 8285 E SANTA ANA CANYON RD STE 115, ANAHEIM, CA 92808-2250
- **Practice address phone:** (714) 974-5599
- **Mailing address:** 8285 E SANTA ANA CANYON RD STE 115, ANAHEIM, CA 92808-2250
- **Mailing address phone:** (714) 974-5599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 34129 | CA | Yes |

## Other

- **Enumeration date:** 07/24/2018
- **Last updated:** 07/24/2018