Individual
AMISHA CHANDRESH UPADHYAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
210 W 1ST ST STE 110, SANTA ANA, CA 92701-5243
(714) 543-1020
(714) 543-1719
Mailing address
210 W 1ST ST STE 110, SANTA ANA, CA 92701-5243
(714) 543-1020
(714) 543-1719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34084
LICENSE NUMBER
CA
Enumeration date
07/26/2006
Last updated
07/08/2007
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