Provider Demographics
NPI:1184468811
Name:PREETI KUMAR DENTAL INC
Entity type:Organization
Organization Name:PREETI KUMAR DENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PREETI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-299-3016
Mailing Address - Street 1:133 BLACK MOUNTAIN CIR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-6578
Mailing Address - Country:US
Mailing Address - Phone:510-299-3016
Mailing Address - Fax:
Practice Address - Street 1:3885 BEACON AVE STE C
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1462
Practice Address - Country:US
Practice Address - Phone:510-608-5810
Practice Address - Fax:510-608-5814
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREETI KUMAR DENTAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty