Individual
AMBIKA PARTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
542 SANTA MARGUARITA DR, APTOS, CA 95003-4814
(661) 900-2100
Mailing address
542 SANTA MARGUARITA DR, APTOS, CA 95003-4814
(661) 900-0123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
102846
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
04/19/2019
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