Individual
ASHINI KALYANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
17024 VAN BUREN BLVD STE B, RIVERSIDE, CA 92504-5921
(951) 729-9349
Mailing address
18589 LAKEPOINTE DR, RIVERSIDE, CA 92503-0226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61744
CA
Other
Enumeration date
10/11/2012
Last updated
03/17/2018
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