Individual
ASHWINI SHIRISH BHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.D.S., M.D.S.
Contact information
Practice address
310 W HAMILTON AVE STE 100, CAMPBELL, CA 95008-0555
(408) 370-1185
(408) 370-7716
Mailing address
124 GARDEN HILL DR, LOS GATOS, CA 95032-7665
(909) 557-3009
(408) 370-7716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021409
MI
122300000X
Dentist
A-14265
ZZ
122300000X
Dentist
A-14265
—
122300000X
Dentist
DE60351086
WA
1223P0700X
Prosthodontics
Primary
DDS100730
CA
Other
Enumeration date
03/31/2013
Last updated
08/11/2026
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