Organization · Type 2 NPI
Shyama Subhadarsini DDS Inc
Dental Clinic/Center · San Jose, CA
NPI number
1912647629
Active
Practice location
4155 Moorpark Ave Ste 17
San Jose, CA 95117-1714
Fax (408) 249-7764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1912647629
Shyama Subhadarsini DDS Inc's National Provider Identifier is 1912647629, issued on Mar 30, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Jose, CA. The record was last updated on Mar 30, 2022.