Sunnyvale Dentist

NPI #1477561264 in Sunnyvale, California

Provider Information

NPI Number: 1477561264
Entity Type: Organization
Organization Name: Sunnyvale Dentist
Primary Specialty: Dentist
Enumeration Date: Aug 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 877 W FREMONT AVE
Address 2: SUITE A-2
City: Sunnyvale
State: California
ZIP Code: 94087
Phone: (408) 524-5505

Authorized Official

Name: MRS. LALITHA N KOTHURI, DDS
Title: OWNER DENTIST
Phone: (408) 524-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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