Organization
KOHLI PROFESSIONAL DENTAL CORPORATION
Active
Other names
Fremont Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAGANDEEP KOHLI DDS, MS (PRESIDENT)
(510) 792-9084
Entity
Organization
Contact information
Practice address
2243 MOWRY AVE STE C, FREMONT, CA 94538-1630
(510) 792-9084
(510) 792-9620
Mailing address
2243 MOWRY AVE STE C, FREMONT, CA 94538-1630
(510) 792-9084
(510) 792-9620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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