Provider Demographics
NPI:1851981013
Name:PARUL SHRIDHAR,DDS INC
Entity Type:Organization
Organization Name:PARUL SHRIDHAR,DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PARUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHRIDHAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-210-0301
Mailing Address - Street 1:838 NORDAHL RD STE 240
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-3595
Mailing Address - Country:US
Mailing Address - Phone:310-210-0301
Mailing Address - Fax:
Practice Address - Street 1:838 NORDAHL RD STE 240
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-3595
Practice Address - Country:US
Practice Address - Phone:310-210-0301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental