-- MIRAJ KISHOR SANGHVI -- DDS,MD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1346403169- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS,MD
- Status
- Active
Contact & Location
- Address
- 756 PORTER AVE SUITE 400, STOCKTON, CA, 952074232
- Phone
- (209) 951-6387
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: CA #53943
Oral & Maxillofacial Surgery
License: CA #A115872