Provider Demographics
NPI:1023326238
Name:DOSHI, BELLA
Entity type:Individual
Prefix:
First Name:BELLA
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 500E
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2208
Mailing Address - Country:US
Mailing Address - Phone:310-828-3522
Mailing Address - Fax:310-828-3422
Practice Address - Street 1:2021 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 500E
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2208
Practice Address - Country:US
Practice Address - Phone:310-828-3522
Practice Address - Fax:310-828-3422
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42996122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist