Provider Demographics
NPI:1346451671
Name:ADVANI, PRITI DEVI (DDS)
Entity Type:Individual
Prefix:DR
First Name:PRITI
Middle Name:DEVI
Last Name:ADVANI
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 1:1870 SADDLE PARK PL
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95138-2769
Mailing Address - Country:US
Mailing Address - Phone:408-270-6156
Mailing Address - Fax:408-270-6156
Practice Address - Street 1:5406 THORNWOOD DR
Practice Address - Street 2:SUITE # 100
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1227
Practice Address - Country:US
Practice Address - Phone:408-284-1234
Practice Address - Fax:408-284-1236
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50880122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist