Individual
DR. ANISHA SUDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9135 JUDICIAL DR, APT # 3112, SAN DIEGO, CA 92122-4653
(858) 373-7712
Mailing address
9135 JUDICIAL DR, APT # 3112, SAN DIEGO, CA 92122-4653
(858) 373-7712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60267
CA
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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