Individual
DR. SHOBA VISWANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
894 SIM HODGIN PKWY, RICHMOND, IN 47374-1931
(415) 335-3537
Mailing address
894 SIM HODGIN PKWY, RICHMOND, IN 47374-1931
(415) 335-3537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012403A
IN
Other
Enumeration date
09/10/2008
Last updated
03/24/2022
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