Provider Demographics
NPI:1720740988
Name:DHARMA HANS PANJRATH DENTAL A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DHARMA HANS PANJRATH DENTAL A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KANCHAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:DHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:408-286-0617
Mailing Address - Street 1:1795 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2093
Mailing Address - Country:US
Mailing Address - Phone:408-286-0617
Mailing Address - Fax:
Practice Address - Street 1:1795 PARK AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2093
Practice Address - Country:US
Practice Address - Phone:408-286-0617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty