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Organization
SUMAN SRA DDS INC
Active
Organization
SUMAN SRA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMAN SRA (PRESIDENT)
(408) 923-8500
Entity
Organization
Contact information
Practice address
750 N CAPITOL AVE, SUITE C-1,, SAN JOSE, CA 95133
(408) 923-8500
(408) 923-0448
Mailing address
750 N CAPITOL AVE, SUITE C-1,, SAN JOSE, CA 95133
(408) 923-8500
(408) 923-0448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
65048
CA
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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