Provider Demographics
NPI:1730440462
Name:PANDE, PUNEET SANDHU (DDS)
Entity type:Individual
Prefix:DR
First Name:PUNEET
Middle Name:SANDHU
Last Name:PANDE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 S. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035
Mailing Address - Country:US
Mailing Address - Phone:408-934-0693
Mailing Address - Fax:408-934-1055
Practice Address - Street 1:414 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035
Practice Address - Country:US
Practice Address - Phone:408-934-0693
Practice Address - Fax:408-934-1055
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53104122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist