Provider Demographics
NPI:1821805276
Name:ANU MOHAN DDS INC
Entity type:Organization
Organization Name:ANU MOHAN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUNACHALAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-465-8717
Mailing Address - Street 1:3790 VIA DE LA VALLE STE 208
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-4250
Mailing Address - Country:US
Mailing Address - Phone:858-367-9717
Mailing Address - Fax:858-381-3111
Practice Address - Street 1:3790 VIA DE LA VALLE STE 208
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-4250
Practice Address - Country:US
Practice Address - Phone:858-367-9717
Practice Address - Fax:858-381-3111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental