Provider Demographics
NPI:1609660315
Name:KOHLI, VANSHIKA (DDS)
Entity type:Individual
Prefix:DR
First Name:VANSHIKA
Middle Name:
Last Name:KOHLI
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37303 FOWLER ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-3689
Mailing Address - Country:US
Mailing Address - Phone:510-320-8286
Mailing Address - Fax:
Practice Address - Street 1:4920 DUBLIN BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3169
Practice Address - Country:US
Practice Address - Phone:925-993-1121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110484122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist