Provider Demographics
NPI:1093157372
Name:LAKHANI D.D.S. INC
Entity Type:Organization
Organization Name:LAKHANI D.D.S. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-733-1607
Mailing Address - Street 1:4655 CASS ST
Mailing Address - Street 2:#100
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-2809
Mailing Address - Country:US
Mailing Address - Phone:858-362-3540
Mailing Address - Fax:858-362-3544
Practice Address - Street 1:4655 CASS ST
Practice Address - Street 2:#100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-2809
Practice Address - Country:US
Practice Address - Phone:858-362-3540
Practice Address - Fax:858-362-3544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31305122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty