Individual
DR. AISHWARYA SURYA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6529 CROWN BLVD, SAN JOSE, CA 95120-2905
(408) 997-1251
Mailing address
190 LLANO DE LOS ROBLES AVE, SAN JOSE, CA 95136-4880
(520) 254-3181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
101657
CA
Other
Enumeration date
10/20/2017
Last updated
11/16/2021
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