Individual
JASKARAN SINGH BHOGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1819 W DUNLAP AVE STE 1, PHOENIX, AZ 85021-4375
(602) 861-3333
Mailing address
1819 W DUNLAP AVE STE 1, PHOENIX, AZ 85021-4375
(602) 861-3333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D010742
AZ
1223P0221X
Pediatric Dentistry
Primary
D010742
AZ
Other
Enumeration date
09/03/2020
Last updated
10/29/2024
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