Organization
HARISH HEGDE,D.D.S,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARISH HEGDE D.D.S (PRESIDENT)
(714) 995-1222
Entity
Organization
Contact information
Practice address
9111 VALLEY VIEW ST, #106, CYPRESS, CA 90630-5800
(714) 995-1222
(714) 995-2873
Mailing address
9111 VALLEY VIEW ST, #106, CYPRESS, CA 90630-5800
(714) 995-1222
(714) 995-2873
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
31061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14161600028
DENTI-CAL
CA
Enumeration date
08/18/2014
Last updated
08/18/2014
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