| Pankaj Narkhede D D S Inc | |
|
24602 Raymond Way Ste L Lake Forest CA 92630-4461 | |
| (949) 770-0966 | |
| (949) 770-2899 |
| Full Name | Pankaj Narkhede D D S Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 24602 Raymond Way Ste L, Lake Forest, California |
| Authorized Official Name and Position | Pankaj Narkhede (OWNER) |
| Authorized Official Contact | 9497700966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pankaj Narkhede D D S Inc 24602 Raymond Way Ste L Lake Forest CA 92630-4461 Ph: (949) 770-0966 | Pankaj Narkhede D D S Inc 24602 Raymond Way Ste L Lake Forest CA 92630-4461 Ph: (949) 770-0966 |
| NPI Number | 1174014179 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174014179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 45155 (California) | Primary |
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