Organization
SANDHU PHAGURA DENTAL CORPORATION
Active
Other names
Mobile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROOP PHAGURA (SECRETARY)
(510) 323-3704
Entity
Organization
Contact information
Practice address
412 S MAIN ST, MILPITAS, CA 95035-5319
(408) 809-9500
Mailing address
412 S MAIN ST, MILPITAS, CA 95035-5319
(408) 809-9500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
12/03/2020
Last updated
05/12/2021
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