Organization
AXIS DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRERNA KULTHAM (DENTIST)
(510) 676-9035
Entity
Organization
Contact information
Practice address
34665 ALVARADO NILES RD, UNION CITY, CA 94587-4598
(510) 676-9035
Mailing address
34665 ALVARADO NILES RD, UNION CITY, CA 94587-4598
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60638
CA
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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