Organization
GAURI A. BHAGWAT,DDS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURI BHAGWAT (PRESIDENT)
(650) 796-5315
Entity
Organization
Contact information
Practice address
5150 GRAVES AVE, SUITE 11-G, SAN JOSE, CA 95129-5013
(408) 725-0335
Mailing address
1265 SARGENT DR, SUNNYVALE, CA 94087-2841
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58652
CA
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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