Healthcare Provider Details

I. General information

NPI: 1205694429
Provider Name (Legal Business Name): LOVELEEN TOKHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2024
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 BRONZE STAR DR STE 100
WOODLAND CA
95776-5428
US

IV. Provider business mailing address

2041 BRONZE STAR DR STE 100
WOODLAND CA
95776-5428
US

V. Phone/Fax

Practice location:
  • Phone: 530-662-7592
  • Fax:
Mailing address:
  • Phone: 530-662-7592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS112873
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: