Provider Demographics
NPI:1174127724
Name:MUNIRA LOKHANDWALA, DDS, PC
Entity type:Organization
Organization Name:MUNIRA LOKHANDWALA, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUNIRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:LOKHANDWALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-795-7786
Mailing Address - Street 1:7197 VILLAGE PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2411
Mailing Address - Country:US
Mailing Address - Phone:925-828-0252
Mailing Address - Fax:
Practice Address - Street 1:7197 VILLAGE PKWY STE B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2411
Practice Address - Country:US
Practice Address - Phone:925-828-0252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUNIRA LOKHANDWALA, DDS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA43365OtherSTATE LICENSE NUMBER