Healthcare Provider Details

I. General information

NPI: 1942660790
Provider Name (Legal Business Name): MAHAL DENTAL CORP,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2016
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8137 SUNSET AVE STE 130
FAIR OAKS CA
95628-5158
US

IV. Provider business mailing address

8137 SUNSET AVE STE 130
FAIR OAKS CA
95628-5158
US

V. Phone/Fax

Practice location:
  • Phone: 916-827-3241
  • Fax: 916-961-5012
Mailing address:
  • Phone: 916-827-3241
  • Fax: 916-961-5012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: NARINDERJIT SINGH MAHAL
Title or Position: PRESIDENT
Credential: D.D.S
Phone: 916-961-1901