Provider Demographics
NPI:1245451434
Name:JOSHI, ANAGHA S (DDS)
Entity type:Individual
Prefix:DR
First Name:ANAGHA
Middle Name:S
Last Name:JOSHI
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 1:3906 DECOTO RD
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-3114
Mailing Address - Country:US
Mailing Address - Phone:510-713-7337
Mailing Address - Fax:
Practice Address - Street 1:3906 DECOTO RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94555-3114
Practice Address - Country:US
Practice Address - Phone:510-713-7337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA502801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice