Provider Demographics
NPI:1235547118
Name:ASHISH VASHISHT DMD INC
Entity Type:Organization
Organization Name:ASHISH VASHISHT DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHISH
Authorized Official - Middle Name:
Authorized Official - Last Name:VASHISHT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:949-833-8884
Mailing Address - Street 1:17655 HARVARD AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-8548
Mailing Address - Country:US
Mailing Address - Phone:949-833-8884
Mailing Address - Fax:
Practice Address - Street 1:17655 HARVARD AVE
Practice Address - Street 2:SUITE F
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-8548
Practice Address - Country:US
Practice Address - Phone:949-833-8884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63017122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty