# ABHISHEK MOGRE DMD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shoreline Oral Facial Surgery & Dental Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750743043
- **Authorized official:** DR. ABHISHEK MOGRE DMD (PRESIDENT)
- **Authorized official phone:** (978) 239-2856

## Contact information

- **Practice address:** 505 SOUTH DR, SUITE 4, MOUNTAIN VIEW, CA 94040-4212
- **Practice address phone:** (650) 965-2222
- **Mailing address:** 505 SOUTH DR, SUITE 4, MOUNTAIN VIEW, CA 94040-4212
- **Mailing address phone:** (650) 965-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 60062 | CA | Yes |

## Other

- **Enumeration date:** 03/24/2016
- **Last updated:** 03/24/2016