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General NPI Number Information
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NPI Number | 1023489697
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Entity Type | Organization
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Legal Business Name | DENTAL OFFICES OF MAHAL,INC.
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7210 S LAND PARK DR STE B
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City | SACRAMENTO
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State | CA
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Zip | 95831-3663
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Country | US
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Telephone | 916-469-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 7210 S. LAND PARK DR, SUITE B-D
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City | SACRAMENTO
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State | CA
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Zip | 95831
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Country | US
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Telephone | 916-421-2200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NARINDERJIT MAHAL
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Credential | DDS
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Telephone | 916-758-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | CA
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