Provider Demographics
NPI:1083744452
Name:CIFARELLI, LARIJANI, SUKHANIL DENTAL CORPORATION
Entity Type:Organization
Organization Name:CIFARELLI, LARIJANI, SUKHANIL DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SUKHANIL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-661-5664
Mailing Address - Street 1:34080 GOLDEN LANTERN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2679
Mailing Address - Country:US
Mailing Address - Phone:949-661-5664
Mailing Address - Fax:949-661-7206
Practice Address - Street 1:34080 GOLDEN LANTERN ST STE 201
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2679
Practice Address - Country:US
Practice Address - Phone:949-661-5664
Practice Address - Fax:949-661-7206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty