Provider Demographics
NPI:1043883184
Name:JOSHI, GUNJAN HITENDRAKUMAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:GUNJAN
Middle Name:HITENDRAKUMAR
Last Name:JOSHI
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 1:1560 3RD ST APT 1507
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2328
Mailing Address - Country:US
Mailing Address - Phone:270-999-8208
Mailing Address - Fax:
Practice Address - Street 1:2440 N TEXAS ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-1602
Practice Address - Country:US
Practice Address - Phone:707-430-0148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1065671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice