Provider Demographics
NPI:1376984690
Name:PANDHER, GAGANDEEP K (DDS)
Entity Type:Individual
Prefix:DR
First Name:GAGANDEEP
Middle Name:K
Last Name:PANDHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5460 SUNOL BLVD
Mailing Address - Street 2:SUITE #5
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-7752
Mailing Address - Country:US
Mailing Address - Phone:510-378-0087
Mailing Address - Fax:
Practice Address - Street 1:5460 SUNOL BLVD
Practice Address - Street 2:SUITE #5
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-7752
Practice Address - Country:US
Practice Address - Phone:510-378-0087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA625891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice