Organization
EAST BAY DERMATOLOGY MEDICAL GROUP INC.
Active
Other names
Center For Dermatology Cosmetic and Laser Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL S. DHAWAN M.D. (SECRETARY OF THE CORPORATION)
(408) 957-7676
Entity
Organization
Contact information
Practice address
1158 JACKLIN RD, MILPITAS, CA 95035-3700
(408) 957-7676
(408) 942-1342
Mailing address
2557 MOWRY AVE STE 34, FREMONT, CA 94538-1614
(510) 797-4111
(510) 797-3320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G53340
CA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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