Provider Demographics
NPI:1235229253
Name:REAGAN AND PANDHOH DENTAL CORPORATION
Entity Type:Organization
Organization Name:REAGAN AND PANDHOH DENTAL CORPORATION
Other - Org Name:TOWNE CENTRE DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMEET
Authorized Official - Middle Name:S
Authorized Official - Last Name:PANDHOH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-588-5906
Mailing Address - Street 1:2860 MICHELLE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1009
Mailing Address - Country:US
Mailing Address - Phone:714-508-3600
Mailing Address - Fax:714-368-2092
Practice Address - Street 1:45 AUTO CENTER DR
Practice Address - Street 2:STE. 110
Practice Address - City:FOOTHILL RANCH
Practice Address - State:CA
Practice Address - Zip Code:92610
Practice Address - Country:US
Practice Address - Phone:949-588-5906
Practice Address - Fax:949-588-6356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty