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Organization

SHARMA DENTAL GROUP

Active
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Organization

SHARMA DENTAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHU SHARMA DMD (CHIEF EXECUTIVE OFFICER)
(831) 521-1356
Entity
Organization

Contact information

Practice address
2616 PAVILION PKWY STE 104, TRACY, CA 95304-9408
(831) 521-1356
Mailing address
2655 HENLEY PKWY UNIT 7312, TRACY, CA 95377-2235
(831) 521-1356

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—

Other

Enumeration date
11/15/2022
Last updated
12/12/2023
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