Provider Demographics
NPI:1376081331
Name:DR TIRUVUR DENTAL CORPORATION
Entity Type:Organization
Organization Name:DR TIRUVUR DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARATHI
Authorized Official - Middle Name:R
Authorized Official - Last Name:TIRUVUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-446-1289
Mailing Address - Street 1:20480 BLAUER DR
Mailing Address - Street 2:STE A
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4371
Mailing Address - Country:US
Mailing Address - Phone:408-446-1289
Mailing Address - Fax:408-446-2086
Practice Address - Street 1:20480 BLAUER DR
Practice Address - Street 2:STE A
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4371
Practice Address - Country:US
Practice Address - Phone:408-446-1289
Practice Address - Fax:408-446-2086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty