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General NPI Number Information
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NPI Number | 1558884627
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Entity Type | Organization
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Legal Business Name | BIJAL JOSHI DDS INC
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 12555 CENTRAL AVE STE B
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City | CHINO
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State | CA
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Zip | 91710-3569
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Country | US
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Telephone | 909-627-0988
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Fax | 909-627-8269
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Provider Business Mailing Address
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Address Line | 12555 CENTRAL AVE STE B
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City | CHINO
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State | CA
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Zip | 91710-3569
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Country | US
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Telephone | 909-627-0988
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Fax | 909-627-8269
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Authorized Official
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Title or Position | OWNER
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Name | DR. BIJAL B JOSHI
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Credential | DDS
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Telephone | 909-627-0988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 49763
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License Number State | CA
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