Provider Demographics
NPI:1497591333
Name:VORA, ANKEET JAIRAJ
Entity type:Individual
Prefix:DR
First Name:ANKEET
Middle Name:JAIRAJ
Last Name:VORA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25018 PROSPECT AVE APT B
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2970
Mailing Address - Country:US
Mailing Address - Phone:213-249-3477
Mailing Address - Fax:
Practice Address - Street 1:1009 N H ST STE P
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-8141
Practice Address - Country:US
Practice Address - Phone:805-242-4044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110232122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist