Provider Demographics
NPI:1346621315
Name:HOTHI, AMRIT (DDS)
Entity Type:Individual
Prefix:
First Name:AMRIT
Middle Name:
Last Name:HOTHI
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 1:925 W WINTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-1563
Mailing Address - Country:US
Mailing Address - Phone:925-577-3643
Mailing Address - Fax:
Practice Address - Street 1:925 W WINTON AVE STE A
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1563
Practice Address - Country:US
Practice Address - Phone:510-780-9288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA100924122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program