DR. Anisha Krishnan Thondukolam, DDS
NPI #1609109768 in San Ramon, California
Provider Information
- NPI Number
- 1609109768
- Entity Type
- Individual
- Name
- DR. Anisha Krishnan Thondukolam, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Periodontics
- Credential
- DDS
- Enumeration Date
- Sep 8, 2009
- Last Updated
- Apr 1, 2013
Practice Location
- Address
- 591 FALLEN LEAF CIR
- City
- San Ramon
- State
- California
- ZIP Code
- 94583-5305
- Phone
- (510) 604-5776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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