Individual
ANCHITA VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1092
(510) 437-4473
Mailing address
3680 BEACON AVE APT 320, FREMONT, CA 94538-3046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103629
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2018
Last updated
04/04/2020
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