Organization
PANKAJ NARKHEDE D D S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ NARKHEDE DDS (OWNER)
(949) 770-0966
Entity
Organization
Contact information
Practice address
24602 RAYMOND WAY STE L, LAKE FOREST, CA 92630-4461
(949) 770-0966
(949) 770-2899
Mailing address
24602 RAYMOND WAY STE L, LAKE FOREST, CA 92630-4461
(949) 770-0966
(949) 770-2899
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
45155
CA
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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