# SAPANA KOTHARY PROFESSIONAL DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Los Gatos Dental Specialities
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215607551
- **Authorized official:** SOFIA MARGARITA ZAMORANO RDA (OFFICE MANAGER)
- **Authorized official phone:** (408) 504-4935

## Contact information

- **Practice address:** 15075 LOS GATOS BLVD STE 120, LOS GATOS, CA 95032-2049
- **Practice address phone:** (408) 504-4935
- **Mailing address:** 5669 LA SEYNE PL, SAN JOSE, CA 95138-2240
- **Mailing address phone:** (408) 504-4935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/17/2021
- **Last updated:** 09/17/2021