Provider Demographics
NPI:1932450616
Name:PANDYA, TORAL S (DDS)
Entity Type:Individual
Prefix:DR
First Name:TORAL
Middle Name:S
Last Name:PANDYA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:TORAL
Other - Middle Name:S
Other - Last Name:KAPADIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:16910 HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-3215
Mailing Address - Country:US
Mailing Address - Phone:310-542-4333
Mailing Address - Fax:
Practice Address - Street 1:16910 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-3215
Practice Address - Country:US
Practice Address - Phone:310-542-4333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA619281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice