Organization · Type 2 NPI
Suryamanga.d.achyuta,dds,inc
General Practice Dentistry · Petaluma, CA
NPI number
1104001015
Active
Practice location
1372 N Mcdowell Blvd, SUITE#B-1
Petaluma, CA 94954-1179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 51889 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1104001015
Suryamanga.d.achyuta,dds,inc's National Provider Identifier is 1104001015, issued on Jan 9, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Petaluma, CA. The record was last updated on Jan 9, 2008.