Organization
INSIYA SABOOWALA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INSIYA SABOOWALA DDS (PRESIDENT)
(469) 247-1188
Entity
Organization
Contact information
Practice address
20395 PACIFICA DR STE 103, CUPERTINO, CA 95014-3016
(408) 255-1700
Mailing address
20395 PACIFICA DR STE 103, CUPERTINO, CA 95014-3016
(408) 255-1700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60720
CA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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