Provider Demographics
NPI:1134397342
Name:PAMPANIYA, ADITI (DDS)
Entity type:Individual
Prefix:DR
First Name:ADITI
Middle Name:
Last Name:PAMPANIYA
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 1:7951 LOUISE LN
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1627
Mailing Address - Country:US
Mailing Address - Phone:714-209-3971
Mailing Address - Fax:
Practice Address - Street 1:7951 LOUISE LN
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1627
Practice Address - Country:US
Practice Address - Phone:714-209-3971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55215122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist