Individual
EKTA S GHETIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4205 SAN FELIPE RD STE 200, SAN JOSE, CA 95135-1546
(408) 270-4333
Mailing address
310 CRESCENT VILLAGE CIR UNIT 1220, SAN JOSE, CA 95134-3041
(347) 257-6414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS106560
CA
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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