Provider Demographics
NPI:1336213966
Name:DHUGGA, RAVNEET
Entity Type:Individual
Prefix:DR
First Name:RAVNEET
Middle Name:
Last Name:DHUGGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 BUSINESS CENTER DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-6845
Mailing Address - Country:US
Mailing Address - Phone:707-864-3535
Mailing Address - Fax:707-864-5925
Practice Address - Street 1:5030 BUSINESS CENTER DRIVE
Practice Address - Street 2:SUITE 130
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-6874
Practice Address - Country:US
Practice Address - Phone:707-864-3535
Practice Address - Fax:707-864-5925
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA477131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice