Vasanth Dental Corporation

NPI #1346997707 in Millbrae, California

Provider Information

NPI Number: 1346997707
Entity Type: Organization
Organization Name: Vasanth Dental Corporation
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 6, 2022
Last Updated: Mar 6, 2022

Practice Location

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

Authorized Official

Name: DR. SUPRIYA SURAJ VASANTH, DMD
Title: DENTIST
Phone: (650) 697-9000

Specialties & Taxonomy Codes

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

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