Provider Demographics
NPI:1851044689
Name:MANOJ RAJPAL AND POONAM RANI DDS INC
Entity Type:Organization
Organization Name:MANOJ RAJPAL AND POONAM RANI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:MANOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJPAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-533-8327
Mailing Address - Street 1:3040 E 9TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2938
Mailing Address - Country:US
Mailing Address - Phone:510-534-0706
Mailing Address - Fax:510-534-1082
Practice Address - Street 1:3040 E 9TH ST STE D
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-2938
Practice Address - Country:US
Practice Address - Phone:510-534-0706
Practice Address - Fax:510-534-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental