Provider Demographics
NPI:1609937804
Name:NARE, PREETI VISHAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:PREETI
Middle Name:VISHAL
Last Name:NARE
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 1:1000 ALLISON DR
Mailing Address - Street 2:APT # 261
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-4993
Mailing Address - Country:US
Mailing Address - Phone:925-325-6947
Mailing Address - Fax:
Practice Address - Street 1:791 E MONTE VISTA AVE
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-2920
Practice Address - Country:US
Practice Address - Phone:707-359-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55113122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist