Provider Demographics
NPI:1801232376
Name:ARATHI TIRUVUR DMD INC
Entity Type:Organization
Organization Name:ARATHI TIRUVUR DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANJALI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUSAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-827-8336
Mailing Address - Street 1:19731 YUBA CT
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-3948
Mailing Address - Country:US
Mailing Address - Phone:408-827-8336
Mailing Address - Fax:408-877-1505
Practice Address - Street 1:19731 YUBA CT
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-3948
Practice Address - Country:US
Practice Address - Phone:408-827-8336
Practice Address - Fax:408-877-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45205122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty