| Kohli Dds Inc | |
|
16177 Hesperian Blvd San Lorenzo CA 94580-2451 | |
| (510) 276-6930 | |
| Not Available |
| Full Name | Kohli Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16177 Hesperian Blvd, San Lorenzo, California |
| Authorized Official Name and Position | Gagandeep Kohli (PRESIDENT) |
| Authorized Official Contact | 5102766930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kohli Dds Inc 16177 Hesperian Blvd San Lorenzo CA 94580-2451 Ph: (510) 276-6930 | Kohli Dds Inc 16177 Hesperian Blvd San Lorenzo CA 94580-2451 Ph: (510) 276-6930 |
| NPI Number | 1891103214 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891103214 | NPI | - | NPPES |
| 1902963051 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49124 (California) | Primary |
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