Provider Demographics
NPI:1033508833
Name:PAVNEET SONDHI DDS INC
Entity Type:Organization
Organization Name:PAVNEET SONDHI DDS INC
Other - Org Name:RANCHO PENASQUITOS DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAVNEET
Authorized Official - Middle Name:
Authorized Official - Last Name:SONDHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-491-9303
Mailing Address - Street 1:9955 CARMEL MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2815
Mailing Address - Country:US
Mailing Address - Phone:858-484-3100
Mailing Address - Fax:858-484-8510
Practice Address - Street 1:9955 CARMEL MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2815
Practice Address - Country:US
Practice Address - Phone:858-484-3100
Practice Address - Fax:858-484-8510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62564261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center