Achyuta, Surya Manga Devi
Achyuta, Surya Manga Devi is an sole proprietor health care provider with primary practice located at 1372 N. Mc Dowell Blvd Suite B-1, Petaluma CA 94954. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Achyuta, Surya Manga Devi can be contacted via phone (707) 778-9993.Contact Information
Primary practice address
1372 N. Mc Dowell Blvd Suite B-1
Petaluma CA 94954
Phone: (707) 778-9993
Fax: (707) 200-2146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 51889 | California |
Profile Details
| NPI number | 1598851693 |
|---|---|
| LBN Legal business name | Achyuta, Surya Manga Devi |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Aug 16th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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