Provider Demographics
NPI:1528247913
Name:OSHIDA, CHERYL A (DDS)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:OSHIDA
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 1:1321 N HARBOR BLVD STE 106
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-4129
Mailing Address - Country:US
Mailing Address - Phone:714-525-0102
Mailing Address - Fax:714-525-5618
Practice Address - Street 1:1321 N HARBOR BLVD SUITE 106
Practice Address - Street 2:SUITE 2
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4140
Practice Address - Country:US
Practice Address - Phone:714-525-0102
Practice Address - Fax:714-525-5618
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA354691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice