Provider Demographics
NPI:1073701405
Name:DOSHI, ALKA TUSHAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALKA
Middle Name:TUSHAR
Last Name:DOSHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3869 PORTOLA PKWY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-0828
Mailing Address - Country:US
Mailing Address - Phone:714-505-9595
Mailing Address - Fax:
Practice Address - Street 1:3869 PORTOLA PKWY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-0828
Practice Address - Country:US
Practice Address - Phone:714-505-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA402301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice