Organization
ATLA DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RADHIKA ATLA (DENTIST)
(408) 290-9544
Entity
Organization
Contact information
Practice address
1330 S DE ANZA BLVD, SUITE 10, SAN JOSE, CA 95129-4604
(408) 290-9544
(408) 290-9547
Mailing address
1330 S DE ANZA BLVD, SUITE 10, SAN JOSE, CA 95129-4604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55365
CA
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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