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Organization
DR GAYATRI SUNDARARAJAN DDS INC
Active
Organization
DR GAYATRI SUNDARARAJAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYATRI SUNDARARAJAN DDS (OWNER DENTIST)
(608) 335-7890
Entity
Organization
Contact information
Practice address
3351 EL CAMINO REAL STE 235, ATHERTON, CA 94027-3862
(608) 335-7890
Mailing address
3351 EL CAMINO REAL STE 235, ATHERTON, CA 94027-3862
(608) 335-7890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101348
DENTAL
CA
Enumeration date
03/30/2022
Last updated
03/30/2022
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