Provider Demographics
NPI:1124997952
Name:JUSTIN YOSHIHARA, DMD, INC
Entity type:Organization
Organization Name:JUSTIN YOSHIHARA, DMD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:YOSHIHARA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:510-856-7900
Mailing Address - Street 1:29028 EDEN SHORES DR
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-1353
Mailing Address - Country:US
Mailing Address - Phone:510-856-7900
Mailing Address - Fax:
Practice Address - Street 1:29028 EDEN SHORES DR
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-1353
Practice Address - Country:US
Practice Address - Phone:510-856-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty