Healthcare Provider Details

I. General information

NPI: 1811650138
Provider Name (Legal Business Name): DR. ANKITA SHARMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2021
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12571 LIMONITE AVE
EASTVALE CA
91752-3676
US

IV. Provider business mailing address

12571 LIMONITE AVE
EASTVALE CA
91752-3676
US

V. Phone/Fax

Practice location:
  • Phone: 951-360-3444
  • Fax:
Mailing address:
  • Phone: 951-360-3444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS112557
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: