Organization
ATRAYA DENTAL CORP
Active
Other names
Gilroy Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KUSUM ATRAYA (PRESIDENT AND CEO)
(408) 821-5418
Entity
Organization
Contact information
Practice address
18181 BUTTERFIELD BLVD STE 110, MORGAN HILL, CA 95037-8118
(408) 821-5418
Mailing address
1395 1ST ST STE 102, GILROY, CA 95020-3876
(408) 821-5418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831279033
NPI
—
Enumeration date
05/04/2018
Last updated
05/04/2018
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