Rhutvi Ganpatrai Virani, Dentist
Dentist in Stockton, CA. Individual provider (NPI-1).
NPI number1982182523
StatusActive
Last updated in NPPESAug 6, 2018
Details
- NPI
- 1982182523
- Entity type
- Individual (NPI-1)
- Name
- Rhutvi Ganpatrai Virani
- Credential
- Dentist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2018
- Last updated
- Aug 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 103008 | CA | Yes |
| 1223G0001X | Dentist, General Practice | 103008 | CA |
Practice location
10928 Trinity PkwyStockton, CA 95219-7230
Phone 209-474-8000
Mailing address
7627 Shoreline DrStockton, CA 95219-4591
Phone 408-680-4483
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