Provider Demographics
NPI:1982087698
Name:SHEORAN, PURNIMA
Entity Type:Individual
Prefix:DR
First Name:PURNIMA
Middle Name:
Last Name:SHEORAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 GLENWOOD CIR APT 308
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4713
Mailing Address - Country:US
Mailing Address - Phone:415-797-9208
Mailing Address - Fax:
Practice Address - Street 1:929 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3912
Practice Address - Country:US
Practice Address - Phone:831-783-1336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64617122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist