Provider Demographics
NPI:1801808845
Name:JOHAL MEDICAL ENTERPRISES
Entity type:Organization
Organization Name:JOHAL MEDICAL ENTERPRISES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTAST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNDEEP
Authorized Official - Middle Name:CHAHAL
Authorized Official - Last Name:JOHAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-634-5600
Mailing Address - Street 1:16 PARSON PL
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-2704
Mailing Address - Country:US
Mailing Address - Phone:732-634-5600
Mailing Address - Fax:732-634-5692
Practice Address - Street 1:16 PARSON PL
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-2704
Practice Address - Country:US
Practice Address - Phone:732-634-5600
Practice Address - Fax:732-634-5692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental