MEDICARE: G.K.S. INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	48901	CA

General Provider Information

NPI Number	:	1720243488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G.K.S. INC

Provider Business Mailing Address
First Line	:	423 N L ST
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94551-8005
Country	:	US
Telephone Number	:	925-449-7167
Fax Number	:	925-449-0648

Provider Business Practice Location Address
First Line	:	423 NORTH L STREET
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94551-8005
Country	:	US
Telephone Number	:	925-449-7167
Fax Number	:	925-449-0648

Authorized Official
Title or Position	:	DDS
Name	:	DR. SONIA DHILLON
Credential	:
Telephone Number	:	925-449-7167

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	07/22/2008

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Directions to “G.K.S. INC ” Practice Location

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