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1649572215 NPI number — AESTHETIC EDGE, THE DENTAL PRACTICE OF MANKIRAT GILL DDS PROF. CORP.

NPI Number: 1649572215
Health Care Provider/Practitioner: AESTHETIC EDGE, THE DENTAL PRACTICE OF MANKIRAT GILL DDS PROF. CORP.

Information about “1649572215” NPI (AESTHETIC EDGE, THE DENTAL PRACTICE OF MANKIRAT GILL DDS PROF. CORP.) exists in 1649572215 in HTML format HTML  |  1649572215 in plain Text format TXT  |  1649572215 in PDF (Portable Document Format) PDF  |  1649572215 in an XML format XML  formats.

NPI Number : 1649572215 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649572215",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AESTHETIC EDGE, THE DENTAL PRACTICE OF MANKIRAT GILL DDS PROF. CORP.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3616 W SHAW AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRESNO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93711-3231",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3616 W SHAW AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRESNO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93711-3231",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "559-271-8400",
    "PracticeLocationAddressFaxNumber": "559-271-8401",
    "EnumerationDate": "12/02/2010",
    "LastUpdateDate": "11/30/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GILL",
    "AuthorizedOfficialFirstName": "KANWAR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SECRETARY",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "559-447-8490",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QD0000X",
        "TaxonomyName": "Dental Clinic/Center",
        "LicenseNumber": "58363",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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