Individual
DR. AMITA KIRAN SUVARNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2225 BUCHANAN RD, SUITE E, ANTIOCH, CA 94509-4209
(925) 757-6117
Mailing address
1793 ROMULUS PL, BRENTWOOD, CA 94513-1770
(925) 240-6681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51656
CA
Other
Enumeration date
10/02/2007
Last updated
09/15/2008
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