Individual
GIRIVINOTHAN PALANISWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28358 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275-1434
(310) 547-1128
(310) 547-1120
Mailing address
28358 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275-1434
(310) 547-1128
(310) 547-1120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
52666
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52666
CA
Other
Enumeration date
09/10/2008
Last updated
06/11/2020
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