Individual
DR. ASVIN VIDYACHARAN VASANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1420 E ROSEVILLE PKWY, #230, ROSEVILLE, CA 95661-3078
(916) 788-1114
(916) 788-1353
Mailing address
1420 E ROSEVILLE PKWY, #230, ROSEVILLE, CA 95661-3078
(916) 788-1114
(916) 788-1353
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2006039344
MO
Other
Enumeration date
03/13/2007
Last updated
11/03/2016
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