Provider Demographics
NPI:1518063569
Name:NARANG, PALKA (DMD)
Entity Type:Individual
Prefix:
First Name:PALKA
Middle Name:
Last Name:NARANG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 MCKEE RD STE 35
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1616
Mailing Address - Country:US
Mailing Address - Phone:408-926-5100
Mailing Address - Fax:
Practice Address - Street 1:2344 MCKEE RD STE 35
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1616
Practice Address - Country:US
Practice Address - Phone:408-926-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036927122300000X
CA58102122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist