Organization
ANIL P PUNJABI, MD, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL P PUNJABI M.D.,D.D.S. (PRESIDENT)
(909) 798-9950
Entity
Organization
Contact information
Practice address
295 TERRACINA BLVD, REDLANDS, CA 92373-4847
(909) 798-9950
Mailing address
295 TERRACINA BLVD, REDLANDS, CA 92373-4847
(909) 798-9950
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
38217
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
A73833
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A73833
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G85143
CA
261QM2500X
Medical Specialty Clinic/Center
G85143
CA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
38217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G851430
—
CA
Enumeration date
11/12/2007
Last updated
04/17/2024
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