Individual
DR. BRINDHA KRISHNA SUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.D.S, M.S
Contact information
Practice address
250 BLOSSOM HILL RD, 100, LOS GATOS, CA 95032-1154
(504) 952-6169
(408) 402-8359
Mailing address
21 PILOT CIR, REDWOOD CITY, CA 94065-8452
(504) 952-6169
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
23523
TX
1223P0221X
Pediatric Dentistry
Primary
58339
CA
1223P0221X
Pediatric Dentistry
S 457
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1892891
—
LA
Enumeration date
04/11/2007
Last updated
11/15/2012
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