Organization · Type 2 NPI
Dentist
Prosthodontics · Fremont, CA
NPI number
1588030480
Active
Practice location
39038 Sutter Dr
Fremont, CA 94538-1141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 61629 (CA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
About NPI 1588030480
Dentist's National Provider Identifier is 1588030480, issued on Aug 13, 2015. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Fremont, CA. The record was last updated on Aug 13, 2015.