Provider Demographics
NPI:1174941405
Name:JEEVAN AND NEELA GHATNEKAR DDS INC
Entity type:Organization
Organization Name:JEEVAN AND NEELA GHATNEKAR DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:NEELA
Authorized Official - Middle Name:JEEVAN
Authorized Official - Last Name:GHATNEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-921-9252
Mailing Address - Street 1:8101 E KAISER BLVD
Mailing Address - Street 2:# 150
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2243
Mailing Address - Country:US
Mailing Address - Phone:714-921-9252
Mailing Address - Fax:714-921-9446
Practice Address - Street 1:8101 E KAISER BLVD
Practice Address - Street 2:# 150
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-2243
Practice Address - Country:US
Practice Address - Phone:714-921-9252
Practice Address - Fax:714-921-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty