Provider Demographics
NPI:1659455434
Name:MANN, HARJIT S (DDS)
Entity type:Individual
Prefix:DR
First Name:HARJIT
Middle Name:S
Last Name:MANN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:SANGER
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-0038
Mailing Address - Country:US
Mailing Address - Phone:559-897-4111
Mailing Address - Fax:559-897-3151
Practice Address - Street 1:1518 DRAPER ST
Practice Address - Street 2:
Practice Address - City:KINGSBURG
Practice Address - State:CA
Practice Address - Zip Code:93631-1909
Practice Address - Country:US
Practice Address - Phone:559-897-4111
Practice Address - Fax:559-897-3151
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA468831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice