Vasanth, Supriya Suraj
Vasanth, Supriya Suraj is an individual health care provider with primary practice located at 15 El Camino Real , Millbrae CA 94030-2603. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Vasanth, Supriya Suraj can be contacted via phone (650) 697-9000.Contact Information
Primary practice address
15 El Camino Real
Millbrae CA 94030-2603
Phone: (650) 697-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D7837 | Arizona |
| Dental Providers / General Practice | 1223G0001X | DDS101865 | California |
Profile Details
| NPI number | 1164757027 |
|---|---|
| LBN Legal business name | Vasanth, Supriya Suraj |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2009 |
| Last updated | Feb 11th, 2022 - about 2 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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