Provider Demographics
NPI:1912421736
Name:PANDHER, NAVKIRANDEEP K (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAVKIRANDEEP
Middle Name:K
Last Name:PANDHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6293 CRESTVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-7200
Mailing Address - Country:US
Mailing Address - Phone:818-983-9098
Mailing Address - Fax:
Practice Address - Street 1:1407 W MARCH LN
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-6111
Practice Address - Country:US
Practice Address - Phone:818-574-9280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS101561122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist