Provider Demographics
NPI:1063636074
Name:KANABAR, JOSHIKA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JOSHIKA
Middle Name:
Last Name:KANABAR
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9669 N CENTRAL EXPY STE 105
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5056
Mailing Address - Country:US
Mailing Address - Phone:214-692-5688
Mailing Address - Fax:972-364-1208
Practice Address - Street 1:9669 N CENTRAL EXPY STE 105
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5056
Practice Address - Country:US
Practice Address - Phone:214-692-5688
Practice Address - Fax:972-364-1208
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214561223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics