Ranjivendra Nath DDS INC
Dentist, General Practice in Pasadena, CA. Organization (NPI-2).
NPI number1326445461
StatusActive
Last updated in NPPESDec 3, 2014
Details
- NPI
- 1326445461
- Entity type
- Organization (NPI-2)
- Legal business name
- Ranjivendra Nath DDS INC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2014
- Last updated
- Dec 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 46304 | CA | Yes |
Other names
- Pasadena Dental Center (Doing Business As)
Practice location
766 N Lake AvePasadena, CA 91104-4557
Phone 626-808-1717 · Fax 626-808-1719
Mailing address
766 N Lake AvePasadena, CA 91104-4557
Phone 626-808-1717 · Fax 626-808-1719
Authorized official
Ranjivendra Nath
President
6268081717
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