Provider Demographics
NPI:1003085978
Name:SHARMA, VRUSHALI ROHIT (DDS)
Entity Type:Individual
Prefix:
First Name:VRUSHALI
Middle Name:ROHIT
Last Name:SHARMA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 MONROE ST
Mailing Address - Street 2:1702
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-3400
Mailing Address - Country:US
Mailing Address - Phone:408-460-0748
Mailing Address - Fax:
Practice Address - Street 1:2200 MONROE ST
Practice Address - Street 2:1702
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-3400
Practice Address - Country:US
Practice Address - Phone:408-460-0748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56719122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist