Provider Demographics
NPI:1184205171
Name:JINDIA DDS INC
Entity Type:Organization
Organization Name:JINDIA DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJAT
Authorized Official - Middle Name:
Authorized Official - Last Name:JINDIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:860-268-2040
Mailing Address - Street 1:233 W BADILLO ST STE B
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-1966
Mailing Address - Country:US
Mailing Address - Phone:860-268-2040
Mailing Address - Fax:
Practice Address - Street 1:5727 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-4712
Practice Address - Country:US
Practice Address - Phone:562-423-8385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental