Provider Demographics
NPI:1902029143
Name:MINOCHA, LALI S (DDS)
Entity Type:Individual
Prefix:DR
First Name:LALI
Middle Name:S
Last Name:MINOCHA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:LALI
Other - Middle Name:S
Other - Last Name:CHANDRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:8881 GOVERNORS HILL DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1337
Mailing Address - Country:US
Mailing Address - Phone:513-697-7888
Mailing Address - Fax:513-697-7908
Practice Address - Street 1:8881 GOVERNORS HILL DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1337
Practice Address - Country:US
Practice Address - Phone:513-697-7888
Practice Address - Fax:513-697-7908
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-02-08291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice