Individual
ANAND MURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2147 MOWRY AVE STE A1, FREMONT, CA 94538-1724
(510) 574-1868
Mailing address
2147 MOWRY AVE STE A1, FREMONT, CA 94538-1724
(510) 574-1868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103613
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
103613
CA
Other
Enumeration date
05/07/2018
Last updated
07/16/2024
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