| Suman Sra Dds Inc | |
|
750 N Capitol Ave, Suite C-1, San Jose CA 95133 | |
| (408) 923-8500 | |
| (408) 923-0448 |
| Full Name | Suman Sra Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 750 N Capitol Ave, Suite C-1,, San Jose, California |
| Authorized Official Name and Position | Suman Sra (PRESIDENT) |
| Authorized Official Contact | 4089238500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suman Sra Dds Inc 750 N Capitol Ave, Suite C-1, San Jose CA 95133 Ph: (408) 923-8500 | Suman Sra Dds Inc 750 N Capitol Ave, Suite C-1, San Jose CA 95133 Ph: (408) 923-8500 |
| NPI Number | 1023526134 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023526134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 65048 (California) | Primary |
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