Provider Demographics
NPI:1518557859
Name:HARSH JAISHANKAR DENTAL PARTNERSHIP
Entity Type:Organization
Organization Name:HARSH JAISHANKAR DENTAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YOGITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-338-7511
Mailing Address - Street 1:46533 MISSION BLVD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-7993
Mailing Address - Country:US
Mailing Address - Phone:408-338-7511
Mailing Address - Fax:
Practice Address - Street 1:46533 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7993
Practice Address - Country:US
Practice Address - Phone:408-338-7511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental