Provider Demographics
NPI:1942316609
Name:KAZI, INC.
Entity Type:Organization
Organization Name:KAZI, INC.
Other - Org Name:LEWELLING DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHITAL
Authorized Official - Middle Name:SARVAJNA
Authorized Official - Last Name:KAZI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-276-6040
Mailing Address - Street 1:2895 SANDERLING DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-1368
Mailing Address - Country:US
Mailing Address - Phone:510-276-6040
Mailing Address - Fax:
Practice Address - Street 1:10 LEWELLING BLVD
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:CA
Practice Address - Zip Code:94580-1628
Practice Address - Country:US
Practice Address - Phone:510-276-6040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA406281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty