Provider Demographics
NPI:1568679371
Name:KARIA, ATUL V (DDS)
Entity Type:Individual
Prefix:
First Name:ATUL
Middle Name:V
Last Name:KARIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4168 N SIERRA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-3819
Mailing Address - Country:US
Mailing Address - Phone:909-886-8900
Mailing Address - Fax:909-886-9991
Practice Address - Street 1:4168 N SIERRA WAY
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-3819
Practice Address - Country:US
Practice Address - Phone:909-886-8900
Practice Address - Fax:909-886-9991
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA426681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice