Provider Demographics
NPI:1750884649
Name:KALANDOOR DENTAL INC
Entity type:Organization
Organization Name:KALANDOOR DENTAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MANGALA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALANDOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-245-7200
Mailing Address - Street 1:1930 S BASCOM AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2364
Mailing Address - Country:US
Mailing Address - Phone:408-245-7200
Mailing Address - Fax:408-340-5594
Practice Address - Street 1:1930 S BASCOM AVE STE 200
Practice Address - Street 2:
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:408-340-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental