Individual
URVA SURYAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11834 GREENBRIER LN, GRAND TERRACE, CA 92313-8341
(323) 975-2725
Mailing address
11834 GREENBRIER LN, GRAND TERRACE, CA 92313-8341
(323) 975-2725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
107035
CA
1223P0221X
Pediatric Dentistry
Primary
107035
CA
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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