Individual
DALVIR PANNU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40880 FREMONT BLVD, FREMONT, CA 94538-4334
(510) 792-9292
(510) 792-9296
Mailing address
40880 FREMONT BLVD, FREMONT, CA 94538-4334
(510) 792-9292
(510) 792-9296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47148
CA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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