Organization · Type 2 NPI

Suryamanga.d.achyuta,dds,inc

General Practice Dentistry · Petaluma, CA

NPI number 1104001015 Active

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.