Provider Demographics
NPI:1558886168
Name:LAKHANI, UMAIR JAVED (DDS)
Entity Type:Individual
Prefix:DR
First Name:UMAIR
Middle Name:JAVED
Last Name:LAKHANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30951 HANOVER LN APT 2103
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-6633
Mailing Address - Country:US
Mailing Address - Phone:323-620-5484
Mailing Address - Fax:
Practice Address - Street 1:29950 HAUN RD STE 302
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586-6527
Practice Address - Country:US
Practice Address - Phone:951-679-1667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2017-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS101638122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF7558693OtherDRIVERS LICENSE