Provider Demographics
NPI:1760919690
Name:MORTON RANCH SMILES DENTISTRY, PC
Entity Type:Organization
Organization Name:MORTON RANCH SMILES DENTISTRY, PC
Other - Org Name:MORTON RANCH SMILES DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASWAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMOHINDERPAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-712-4840
Mailing Address - Street 1:17000 RED HILL AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5626
Mailing Address - Country:US
Mailing Address - Phone:714-845-8701
Mailing Address - Fax:949-474-1495
Practice Address - Street 1:22720 MORTON RANCH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449
Practice Address - Country:US
Practice Address - Phone:281-712-4840
Practice Address - Fax:281-407-3731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty