Mittal, Krishan Kumar

Mittal, Krishan Kumar is an individual health care provider with primary practice located at 10064 Arrow Rte , Rancho Cucamonga CA 91730. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mittal, Krishan Kumar can be contacted via phone (909) 987-5522.

Contact Information

Primary practice address
10064 Arrow Rte Rancho Cucamonga CA 91730
Phone: (909) 987-5522
Fax: (909) 987-5532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 41760 California

Profile Details

NPI number 1750414462
LBN Legal business name Mittal, Krishan Kumar
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750414462 NPPES
California MEDICAID G92877

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