Individual
ASHISH SUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4690 NATOMAS BLVD STE 100, SACRAMENTO, CA 95835-2230
(916) 515-4500
Mailing address
23668 HOLLINGSWORTH DR, MURRIETA, CA 92562-4497
(951) 816-7071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7287511
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
07/29/2020
Last updated
12/14/2020
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