| Sanjay Kumar Vanjarapu Dds Pc | |
|
6280 W Las Positas Blvd Ste 215 Pleasanton CA 94588-4940 | |
| (925) 234-4421 | |
| (925) 237-9019 |
| Full Name | Sanjay Kumar Vanjarapu Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6280 W Las Positas Blvd Ste 215, Pleasanton, California |
| Authorized Official Name and Position | Sanjay Kumar Vanjarapu (DENTIST) |
| Authorized Official Contact | 2097804777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay Kumar Vanjarapu Dds Pc 6280 W Las Positas Blvd Ste 215 Pleasanton CA 94588-4940 Ph: (925) 234-4421 | Sanjay Kumar Vanjarapu Dds Pc 6280 W Las Positas Blvd Ste 215 Pleasanton CA 94588-4940 Ph: (925) 234-4421 |
| NPI Number | 1770138968 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 08/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770138968 | NPI | - | NPPES |
| 1215389069 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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