Provider Demographics
NPI:1467662874
Name:SERENE DENTAL
Entity Type:Organization
Organization Name:SERENE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAPANA
Authorized Official - Middle Name:ISHWAR
Authorized Official - Last Name:MAJMUDAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-797-6453
Mailing Address - Street 1:5201 MOWRY AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1056
Mailing Address - Country:US
Mailing Address - Phone:510-797-6453
Mailing Address - Fax:510-797-6493
Practice Address - Street 1:5201 MOWRY AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1056
Practice Address - Country:US
Practice Address - Phone:510-797-6453
Practice Address - Fax:510-797-6493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty