| Anil Mahajan Dds | |
|
815 W Holt Blvd Ste 402 Ontario CA 91762-3681 | |
| (909) 635-0444 | |
| (909) 635-0448 |
| Full Name | Anil Mahajan Dds |
|---|---|
| Speciality | Dentist |
| Location | 815 W Holt Blvd Ste 402, Ontario, California |
| Authorized Official Name and Position | Anil Mahajan (OWNER) |
| Authorized Official Contact | 9096350444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anil Mahajan Dds 815 W Holt Blvd Ste 402 Ontario CA 91762-3681 Ph: (909) 635-0444 | Anil Mahajan Dds 815 W Holt Blvd Ste 402 Ontario CA 91762-3681 Ph: (909) 635-0444 |
| NPI Number | 1568857076 |
|---|---|
| Provider Enumeration Date | 04/01/2015 |
| Last Update Date | 04/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568857076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D58280 (California) | Primary |
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