Individual
DR. ANIL PITAMBER PUNJABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
295 TERRACINA BLVD., REDLANDS, CA 92373
(909) 798-9950
(909) 798-9958
Mailing address
295 TERRACINA BLVD., REDLANDS, CA 92373
(909) 798-9950
(909) 798-9958
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
38217
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
38217
CA
208200000X
Plastic Surgery Physician
Primary
G85143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G851430
—
CA
Enumeration date
09/15/2006
Last updated
04/17/2024
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