| Ashmita Shetty, Dds, A Professional Corporation | |
|
2664 Berryessa Rd Suite 104 San Jose CA 95132-2925 | |
| (408) 254-1760 | |
| (408) 416-3288 |
| Full Name | Ashmita Shetty, Dds, A Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2664 Berryessa Rd, San Jose, California |
| Authorized Official Name and Position | Ashmita Shetty (PRESIDENT) |
| Authorized Official Contact | 4083485973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashmita Shetty, Dds, A Professional Corporation 2664 Berryessa Rd Suite 104 San Jose CA 95132-2925 Ph: (408) 254-1760 | Ashmita Shetty, Dds, A Professional Corporation 2664 Berryessa Rd Suite 104 San Jose CA 95132-2925 Ph: (408) 254-1760 |
| NPI Number | 1598001166 |
|---|---|
| Provider Enumeration Date | 12/29/2012 |
| Last Update Date | 12/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598001166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46683 (California) | Primary |
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