Nagrecha, Indulal M.
Nagrecha, Indulal M. is an individual health care provider with primary practice located at 2509 Pico Blvd Venice Family Clinic, Santa Monica CA 90405-1828. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Nagrecha, Indulal M. can be contacted via phone (310) 664-7885.Contact Information
Primary practice address
2509 Pico Blvd Venice Family Clinic
Santa Monica CA 90405-1828
Phone: (310) 664-7885
Fax: (310) 664-7590
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 28962 | California |
Profile Details
NPI number | 1760409692 |
---|---|
LBN Legal business name | Nagrecha, Indulal M. |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2006 |
Last updated | May 31st, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760409692 | NPPES |
California | Other | B28962-01 | DENTI-CAL |
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