Healthcare Provider Details

I. General information

NPI: 1043628639
Provider Name (Legal Business Name): ALPANA GAKHAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2014
Last Update Date: 07/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 CHURN CREEK RD
REDDING CA
96003-4004
US

IV. Provider business mailing address

2521 9TH AVE EAST
OWEN SOUND ONTARIO
N4K3H4
CA

V. Phone/Fax

Practice location:
  • Phone: 530-216-5024
  • Fax:
Mailing address:
  • Phone: 647-786-8647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number63624
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: