DR. Supriya Suraj Vasanth, DMD

NPI #1164757027 in Millbrae, California

Provider Information

NPI Number: 1164757027
Entity Type: Individual
Name: DR. Supriya Suraj Vasanth, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 12, 2009
Last Updated: Feb 11, 2022

Practice Location

Address: 15 EL CAMINO REAL
City: Millbrae
State: California
ZIP Code: 94030-2603
Phone: (650) 697-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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