Search › California › 122300000X
Sanjukta Panigrahi
NPI 1356782486 · on the registry since 2013 · sole proprietor
Practice
- Address
- 15290 Bear Valley Rd
Victorville, CA 92395 - Phone
- (619) 206-4556
- Organisation at this address
- Western Dental Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- TX, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California