Provider Demographics
NPI:1861560104
Name:KALANDOOR, MANGALA (DDS)
Entity type:Individual
Prefix:DR
First Name:MANGALA
Middle Name:
Last Name:KALANDOOR
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 1:20990, VALLEY GREEN DR
Mailing Address - Street 2:676
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014
Mailing Address - Country:US
Mailing Address - Phone:408-366-0685
Mailing Address - Fax:
Practice Address - Street 1:1930 S BASCOM AVE
Practice Address - Street 2:200
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2364
Practice Address - Country:US
Practice Address - Phone:408-245-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51598122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist