Organization
G S KOHLI DENTAL CORP
Active
Other names
Castro Valley Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAGANDEEP KOHLI D.D.S., M.S. (PRESIDENT)
(510) 582-1602
Entity
Organization
Contact information
Practice address
20632 REDWOOD RD STE A, CASTRO VALLEY, CA 94546-5631
(510) 582-1602
(510) 582-1604
Mailing address
20632 REDWOOD RD STE A, CASTRO VALLEY, CA 94546-5631
(510) 582-1602
(510) 582-1604
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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