Provider Demographics
NPI:1952534711
Name:PAPPU, SWATI (DDS)
Entity type:Individual
Prefix:DR
First Name:SWATI
Middle Name:
Last Name:PAPPU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 GATEWAY DR APT 123
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-1216
Mailing Address - Country:US
Mailing Address - Phone:408-439-4397
Mailing Address - Fax:
Practice Address - Street 1:269 GATEWAY DR APT 123
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-1216
Practice Address - Country:US
Practice Address - Phone:408-439-4397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA587661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice