Provider Demographics
NPI:1811221302
Name:OCHANA, LAILA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAILA
Middle Name:
Last Name:OCHANA
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 1:618 CHURCH ST
Mailing Address - Street 2:SUITE 520
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-2428
Mailing Address - Country:US
Mailing Address - Phone:615-750-0342
Mailing Address - Fax:
Practice Address - Street 1:85002 AIRPORT RD
Practice Address - Street 2:NW UNIT #130
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012
Practice Address - Country:US
Practice Address - Phone:540-362-5437
Practice Address - Fax:540-362-8997
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014134561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPENDINGMedicaid