Provider Demographics
NPI:1376128769
Name:CHOWDHURY, SHARMINA HUSNAIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHARMINA
Middle Name:HUSNAIN
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5791 WALTON RD.
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:BC
Mailing Address - Zip Code:V7C2L8
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5791 WALTON RD.
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:BC
Practice Address - Zip Code:V7C2L8
Practice Address - Country:CA
Practice Address - Phone:604-277-7040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN19857122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist