Provider Demographics
NPI:1215216213
Name:SALWAN, MEENAKSHI (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEENAKSHI
Middle Name:
Last Name:SALWAN
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 1:15398 MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-3390
Mailing Address - Country:US
Mailing Address - Phone:760-949-7211
Mailing Address - Fax:760-949-6389
Practice Address - Street 1:15398 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3391
Practice Address - Country:US
Practice Address - Phone:760-949-7211
Practice Address - Fax:760-949-6389
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA531031223S0112X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery