| Gagneja Dental Corporation | |
|
521 & 525 N. Laurel Ave. Ontario CA 91762-3213 | |
| (909) 983-1200 | |
| Not Available |
| Full Name | Gagneja Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 521 & 525 N. Laurel Ave., Ontario, California |
| Authorized Official Name and Position | Rajesh Kumar Gagneja (PRESIDENT) |
| Authorized Official Contact | 9099831200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gagneja Dental Corporation 521 & 525 N. Laurel Ave. Ontario CA 91762-3213 Ph: (909) 983-1200 | Gagneja Dental Corporation 521 & 525 N. Laurel Ave. Ontario CA 91762-3213 Ph: (909) 983-1200 |
| NPI Number | 1659755874 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659755874 | NPI | - | NPPES |
| D50112 | Other | CA | DENTI-CAL PROVIDER NUMBER |
| 1730210659 | Other | CA | DR. RAJESH KUMAR GAGNEJA - NPI # 1730210659 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50112 (California) | Primary |
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