Provider Demographics
NPI:1558884627
Name:BIJAL JOSHI DDS INC
Entity Type:Organization
Organization Name:BIJAL JOSHI DDS INC
Other - Org Name:CHINO AESTHETIC DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BIJAL
Authorized Official - Middle Name:B
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-627-0988
Mailing Address - Street 1:12555 CENTRAL AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-3569
Mailing Address - Country:US
Mailing Address - Phone:909-627-0988
Mailing Address - Fax:909-627-8269
Practice Address - Street 1:12555 CENTRAL AVE STE B
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3569
Practice Address - Country:US
Practice Address - Phone:909-627-0988
Practice Address - Fax:909-627-8269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49763261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental