Provider Demographics
NPI:1467883942
Name:JASPREET HARIKA DDS INC
Entity Type:Organization
Organization Name:JASPREET HARIKA DDS INC
Other - Org Name:BAY SMILE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASPREET
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:HARIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-284-2511
Mailing Address - Street 1:39736 CEDAR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-5360
Mailing Address - Country:US
Mailing Address - Phone:510-284-2511
Mailing Address - Fax:510-284-2512
Practice Address - Street 1:39736 CEDAR BLVD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5360
Practice Address - Country:US
Practice Address - Phone:510-284-2511
Practice Address - Fax:510-284-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA559431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherDENTAL OFFICE