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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1760409692 NPPES
California Other B28962-01 DENTI-CAL

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