Vijay L. Pharar Dental Corporation
Dentist in La Puente, CA. Organization (NPI-2).
NPI number1497947154
StatusActive
Last updated in NPPESMay 17, 2021
Details
- NPI
- 1497947154
- Entity type
- Organization (NPI-2)
- Legal business name
- Vijay L. Pharar Dental Corporation
- Organization subpart
- No
- Enumeration date
- Aug 15, 2007
- Certification date
- May 17, 2021
- Last updated
- May 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 34190 | CA | Yes |
Practice location
17311 Valley Blvd Ste BLa Puente, CA 91744-5653
Phone 626-810-2444
Mailing address
17311 Valley Blvd Ste BLa Puente, CA 91744-5653
Phone 626-810-2444
Authorized official
Vijay Pharar
President
6268102444
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