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Organization
SHYAMA SUBHADARSINI DDS INC
Active
Organization
SHYAMA SUBHADARSINI DDS INC
Active
Other names
Shyama Subhadarsini DDS Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHYAMA SUBHADARSINI DDS (DENTIST)
(408) 249-7762
Entity
Organization
Contact information
Practice address
4155 MOORPARK AVE STE 17, SAN JOSE, CA 95117-1714
(408) 249-7762
(408) 249-7764
Mailing address
4155 MOORPARK AVE STE 17, SAN JOSE, CA 95117-1714
(408) 249-7762
(408) 249-7764
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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