Provider Demographics
NPI:1730635434
Name:JOSHI, ABHISHEK (DDS)
Entity Type:Individual
Prefix:
First Name:ABHISHEK
Middle Name:
Last Name:JOSHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6626 KENIA CT
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3738
Mailing Address - Country:US
Mailing Address - Phone:951-440-5993
Mailing Address - Fax:
Practice Address - Street 1:6626 KENIA CT
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-3738
Practice Address - Country:US
Practice Address - Phone:951-440-5993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100529122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist