Individual
MIRAJ KISHOR SANGHVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
53943
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A115872
CA
Other
Enumeration date
07/02/2008
Last updated
10/20/2011
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