Provider Demographics
NPI:1780025833
Name:AMIN, KAVITA SALVI (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAVITA
Middle Name:SALVI
Last Name:AMIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KAVITA
Other - Middle Name:KIRITKUMAR
Other - Last Name:SALVI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:8415 HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3893
Mailing Address - Country:US
Mailing Address - Phone:909-980-2272
Mailing Address - Fax:
Practice Address - Street 1:8415 HAVEN AVE
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3893
Practice Address - Country:US
Practice Address - Phone:909-980-2272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX297651223G0001X
CA622721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice