Provider Demographics
NPI:1679505077
Name:ACHHNANI, DIPTI DIPAK (DDS)
Entity Type:Individual
Prefix:DR
First Name:DIPTI
Middle Name:DIPAK
Last Name:ACHHNANI
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 1:2135 CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065-1212
Mailing Address - Country:US
Mailing Address - Phone:323-223-0731
Mailing Address - Fax:323-223-0775
Practice Address - Street 1:2135 CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90065-1212
Practice Address - Country:US
Practice Address - Phone:323-223-0731
Practice Address - Fax:323-223-0775
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35064122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB3506401OtherDENTI CAL