Provider Demographics
NPI:1194831693
Name:DHAMA, DEEPIKA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEEPIKA
Middle Name:S
Last Name:DHAMA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2860 MICHELLE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1009
Mailing Address - Country:US
Mailing Address - Phone:714-508-3600
Mailing Address - Fax:714-368-2092
Practice Address - Street 1:140 HIDDEN VALLEY PKWY
Practice Address - Street 2:STE. K
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-4000
Practice Address - Country:US
Practice Address - Phone:951-898-8673
Practice Address - Fax:951-898-1147
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA490441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice