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Individual

DR. AMRITHA RAGHUNATH MINISANDRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
7058 HEARTLAND WAY, SAN JOSE, CA 95135-2234
(408) 431-2471
Mailing address
7058 HEARTLAND WAY, SAN JOSE, CA 95135-2234
(408) 431-2471

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104478
CA

Other

Enumeration date
02/06/2020
Last updated
02/06/2020
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