Provider Demographics
NPI:1891746236
Name:PARUL PRAGNESH RAY, DDS, INC
Entity Type:Organization
Organization Name:PARUL PRAGNESH RAY, DDS, INC
Other - Org Name:HI-TECH DENTAL OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PARUL
Authorized Official - Middle Name:P
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-481-8990
Mailing Address - Street 1:9635 MILLIKEN AVE
Mailing Address - Street 2:# 103
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-6069
Mailing Address - Country:US
Mailing Address - Phone:909-481-8990
Mailing Address - Fax:909-481-8875
Practice Address - Street 1:9635 MILLIKEN AVE
Practice Address - Street 2:# 103
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-6069
Practice Address - Country:US
Practice Address - Phone:909-481-8990
Practice Address - Fax:909-481-8875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA480011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty