Provider Demographics
NPI:1548940117
Name:S DOSHI DENTAL OFFICE CORPORATION
Entity type:Organization
Organization Name:S DOSHI DENTAL OFFICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-534-8980
Mailing Address - Street 1:514 N DIAMOND BAR BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-1064
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3209 S BREA CANYON RD STE F
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-3482
Practice Address - Country:US
Practice Address - Phone:909-240-1784
Practice Address - Fax:909-414-3090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental