Individual
DR. BHARAT MANSUKHLAL RAJPARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
8750 19TH ST, ALTA LOMA, CA 91701-4608
(909) 483-1177
Mailing address
14304 SANTA LUCIA ST, FONTANA, CA 92336-3622
(909) 483-1177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B36600-01
MEDICAL
CA
Enumeration date
04/24/2007
Last updated
07/08/2007
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