Individual provider · Type 1 NPI
Anisha Krishnan Thondukolam, DDS
Periodontics · San Ramon, CA
NPI number
1609109768
Active
Practice location
591 Fallen Leaf Cir
San Ramon, CA 94583-5305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 62123 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in San Ramon
About NPI 1609109768
Anisha Krishnan Thondukolam, DDS's National Provider Identifier is 1609109768, issued on Sep 8, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Ramon, CA. The record was last updated on Apr 1, 2013.