Provider Demographics
NPI:1437918174
Name:HANS DHARMA PANJRATH DENTAL A PROFESSIONAL CORPPRATION
Entity Type:Organization
Organization Name:HANS DHARMA PANJRATH DENTAL A PROFESSIONAL CORPPRATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:CANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HANS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-269-3411
Mailing Address - Street 1:3535 ROSS AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-3039
Mailing Address - Country:US
Mailing Address - Phone:408-269-3411
Mailing Address - Fax:408-448-6443
Practice Address - Street 1:3535 ROSS AVE STE 207
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-3039
Practice Address - Country:US
Practice Address - Phone:408-269-3411
Practice Address - Fax:408-448-6443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental