Provider Demographics
NPI:1871847368
Name:RAMAMURTHY DENTAL CORP
Entity Type:Organization
Organization Name:RAMAMURTHY DENTAL CORP
Other - Org Name:GREENROOT ENDODONTICS & MICROSURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAMURTHY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:408-259-2090
Mailing Address - Street 1:750 N CAPITOL AVE
Mailing Address - Street 2:A1
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95133-1913
Mailing Address - Country:US
Mailing Address - Phone:408-259-2090
Mailing Address - Fax:
Practice Address - Street 1:750 N CAPITOL AVE
Practice Address - Street 2:A1
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95133-1913
Practice Address - Country:US
Practice Address - Phone:408-259-2090
Practice Address - Fax:408-259-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA580701223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty