Provider Demographics
NPI:1013510932
Name:ADAMI, MEENA (DDS)
Entity Type:Individual
Prefix:
First Name:MEENA
Middle Name:
Last Name:ADAMI
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 1:107 JENNIFER ST
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4957
Mailing Address - Country:US
Mailing Address - Phone:501-766-6479
Mailing Address - Fax:
Practice Address - Street 1:107 JENNIFER ST
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4957
Practice Address - Country:US
Practice Address - Phone:501-766-6479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1033181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry