Organization
G KOHLI DDS INC
Active
Other names
Montclair Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAGANDEEP S KOHLI DDS (PRESIDENT)
(650) 556-4778
Entity
Organization
Contact information
Practice address
2220 MOUNTAIN BLVD STE 206, OAKLAND, CA 94611-2905
(510) 482-5700
(510) 482-0407
Mailing address
2220 MOUNTAIN BLVD STE 206, OAKLAND, CA 94611-2905
(510) 482-5700
(510) 482-0407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49124
CA
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
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