Provider Demographics
NPI:1750390944
Name:LOKHANDWALA, MUNIRA K (DDS)
Entity type:Individual
Prefix:DR
First Name:MUNIRA
Middle Name:K
Last Name:LOKHANDWALA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:38350 FREMONT BLVD
Mailing Address - Street 2:STE.103 STARBRITE DENTAL
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-6060
Mailing Address - Country:US
Mailing Address - Phone:510-795-7786
Mailing Address - Fax:510-217-9640
Practice Address - Street 1:38350 FREMONT BLVD
Practice Address - Street 2:STE.103 STARBRITE DENTAL
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-6060
Practice Address - Country:US
Practice Address - Phone:510-795-7786
Practice Address - Fax:510-217-9640
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA433651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice