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Organization

GAGNEJA DENTAL CORPORATION

Active
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Organization

GAGNEJA DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJESH KUMAR GAGNEJA (PRESIDENT)
(909) 983-1200
Entity
Organization

Contact information

Practice address
521 & 525 N. LAUREL AVE., ONTARIO, CA 91762-3213
(909) 983-1200
Mailing address
521 & 525 N. LAUREL AVE., ONTARIO, CA 91762-3213
(909) 983-1200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50112
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730210659
DR. RAJESH KUMAR GAGNEJA - NPI # 1730210659
CA
01
—
D50112
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
07/17/2015
Last updated
07/17/2015
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