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Siva S. Cherukuri DDS INC

Dentist, General Practice in Redwood City, CA. Organization (NPI-2).

NPI number1124093752
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1124093752
Entity type
Organization (NPI-2)
Legal business name
Siva S. Cherukuri DDS INC
Organization subpart
No
Enumeration date
Feb 17, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice48245CAYes

Practice location

193 Arch St
Suite B-C
Redwood City, CA 94062-1343

Phone 650-369-4616 · Fax 650-369-4622

Mailing address

193 Arch St
Suite B-C
Redwood City, CA 94062-1343

Phone 650-369-4616 · Fax 650-369-4622

Authorized official

Siva S Cherukuri
Director
6503694616

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