Organization
SAPANA KOTHARY PROFESSIONAL DENTAL CORPORATION
Active
Other names
Los Gatos Dental Specialities
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA MARGARITA ZAMORANO RDA (OFFICE MANAGER)
(408) 504-4935
Entity
Organization
Contact information
Practice address
15075 LOS GATOS BLVD STE 120, LOS GATOS, CA 95032-2049
(408) 504-4935
Mailing address
5669 LA SEYNE PL, SAN JOSE, CA 95138-2240
(408) 504-4935
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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