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Organization
HARINSHODHAN A PROFESSIONAL DENTAL CORP
Active
Organization
HARINSHODHAN A PROFESSIONAL DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARIN PANKAJ SHODHAN DDS (OWNER)
(818) 642-2777
Entity
Organization
Contact information
Practice address
11213 PALM DR, DESERT HOT SPRINGS, CA 92240-3162
(818) 642-2777
(760) 251-7655
Mailing address
11213 PALM DR, DESERT HOT SPRINGS, CA 92240-3162
(818) 642-2777
(714) 990-5883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46966
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4696603
MEDICAL
CA
Enumeration date
10/31/2007
Last updated
08/15/2012
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