Organization
G KOHLI PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGANDEEP KOHLI DDS, MS (PRESIDENT)
(510) 276-6930
Entity
Organization
Contact information
Practice address
16177 HESPERIAN BLVD STE A, SAN LORENZO, CA 94580-2451
(510) 276-6930
Mailing address
16177 HESPERIAN BLVD STE A, SAN LORENZO, CA 94580-2451
(510) 276-6930
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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