Provider Demographics
NPI:1144578253
Name:GIRI, MEENU (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEENU
Middle Name:
Last Name:GIRI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37259 FREMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-3642
Mailing Address - Country:US
Mailing Address - Phone:510-790-0700
Mailing Address - Fax:510-790-0777
Practice Address - Street 1:37259 FREMONT BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-3642
Practice Address - Country:US
Practice Address - Phone:510-790-0700
Practice Address - Fax:510-790-0777
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA614861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice