Organization
SWAPNA RAVEENDRANATH DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SWAPNA RAVEENDRANATH DDS (CEO)
(510) 371-2502
Entity
Organization
Contact information
Practice address
39055 HASTINGS ST, SUITE 203, FREMONT, CA 94538-1518
(510) 791-3144
(510) 791-3140
Mailing address
39055 HASTINGS ST, SUITE 203, FREMONT, CA 94538-1518
(510) 791-3144
(510) 791-3140
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
56777
CA
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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