Provider Demographics
NPI:1861220931
Name:DHILLON BAANI DDS INC
Entity type:Organization
Organization Name:DHILLON BAANI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAPNEET
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:209-556-2967
Mailing Address - Street 1:1263 N ACACIA AVE
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:CA
Mailing Address - Zip Code:95366-9597
Mailing Address - Country:US
Mailing Address - Phone:209-556-2967
Mailing Address - Fax:
Practice Address - Street 1:6601 DUBLIN BLVD STE K
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3118
Practice Address - Country:US
Practice Address - Phone:925-897-0040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental