Provider Demographics
NPI:1720226145
Name:OSHIRO, BOBBI LYN
Entity Type:Individual
Prefix:MISS
First Name:BOBBI
Middle Name:LYN
Last Name:OSHIRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 N AZUSA AVE STE C
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-1257
Mailing Address - Country:US
Mailing Address - Phone:626-858-9940
Mailing Address - Fax:626-858-9366
Practice Address - Street 1:1406 N AZUSA AVE STE C
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-1257
Practice Address - Country:US
Practice Address - Phone:626-858-9940
Practice Address - Fax:626-858-9366
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant