Provider Demographics
NPI:1124672027
Name:APARNA BOROLE DDS, INC.
Entity type:Organization
Organization Name:APARNA BOROLE DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:APARNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOROLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-790-0590
Mailing Address - Street 1:39572 STEVENSON PL STE 227
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-3113
Mailing Address - Country:US
Mailing Address - Phone:510-790-0590
Mailing Address - Fax:
Practice Address - Street 1:39572 STEVENSON PL STE 227
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-3113
Practice Address - Country:US
Practice Address - Phone:510-790-0590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental