Provider Demographics
NPI:1437338704
Name:CHERYL OSHIDA DDS, INC.
Entity Type:Organization
Organization Name:CHERYL OSHIDA DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSHIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-525-0102
Mailing Address - Street 1:1321 N HARBOR BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-4129
Mailing Address - Country:US
Mailing Address - Phone:714-525-0102
Mailing Address - Fax:714-525-5618
Practice Address - Street 1:1321 N HARBOR BLVD STE 106
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4129
Practice Address - Country:US
Practice Address - Phone:714-525-0102
Practice Address - Fax:714-525-5618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2008-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35469261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental