Ghazal Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GHAZAL DENTAL CORPORATION

Doing business as

Menifee Dental Group

Practice address

29950 Haun Rd
302
Sun City, CA 92586-6526

Phone

(951) 679-1667

Fax

(951) 679-8664

NPI assigned

Jun 12, 2008

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carolyn G Ghazal, DDS

Title

Owner Doctor

Phone

(951) 679-1667

Specialties & licenses 1

Addresses

Other names 1

• MENIFEE DENTAL GROUP Doing business as

Tax ID family

Ghazal Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ghazal Dental Corporation

  dba N. Rancho Cucamonga Dental Group

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rancho Cucamonga, CA
  • NPI 1609965458
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1730349804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "571-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29950 HAUN RD",
            "address_2": "302",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866526",
            "telephone_number": "951-679-1667",
            "fax_number": "951-679-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAZAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "GHAZAL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "951-679-1667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENIFEE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anindita Ganguly, PHD
• Mariela Garcia Armenta
• Adrian Marie Garcia
• Garden of Friends Foundation
• Patricia Pebbles Gminder, BCBA
• Edivina B. Gonzales, M.D.
• Patrick D. Gonzales, M.D.
• Marlyn Gonzalez
• Guiding Behavior Outcomes LLC

• General Practice Dentistry in Sun City, CA
• Providers in Sun City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.