Provider Demographics
NPI:1194809830
Name:JOSHI, MEGHA A (DDS)
Entity type:Individual
Prefix:MRS
First Name:MEGHA
Middle Name:A
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 1:2150 HIGHRIDGE DR
Mailing Address - Street 2:APT 104
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-8053
Mailing Address - Country:US
Mailing Address - Phone:213-926-4227
Mailing Address - Fax:
Practice Address - Street 1:25025 RED MAPLE LN
Practice Address - Street 2:SUITE 105
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92551-1137
Practice Address - Country:US
Practice Address - Phone:213-926-4227
Practice Address - Fax:951-247-2738
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA545181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice