Provider Demographics
NPI:1689456865
Name:UKANI, VIRAL GULABRAI (DDS)
Entity Type:Individual
Prefix:DR
First Name:VIRAL
Middle Name:GULABRAI
Last Name:UKANI
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 1:2500 GLENBUSH CIR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-8600
Mailing Address - Country:US
Mailing Address - Phone:951-340-1144
Mailing Address - Fax:
Practice Address - Street 1:19071 BEAR VALLEY RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-2718
Practice Address - Country:US
Practice Address - Phone:760-810-4066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1095861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice