Provider Demographics
NPI:1942491113
Name:OSWAL, PUNITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:PUNITA
Middle Name:
Last Name:OSWAL
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 1:240 S 3RD ST
Mailing Address - Street 2:APT#M
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1307
Mailing Address - Country:US
Mailing Address - Phone:404-547-6229
Mailing Address - Fax:
Practice Address - Street 1:240 S 3RD ST
Practice Address - Street 2:APT#M
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1307
Practice Address - Country:US
Practice Address - Phone:404-547-6229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA559741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice