Shilpa A Khatavkar, d.d.s.
Dentist, General Practice in Fremont, CA. Individual provider (NPI-1).
NPI number1982804936
StatusActive
Last updated in NPPESJul 18, 2007
Details
- NPI
- 1982804936
- Entity type
- Individual (NPI-1)
- Name
- Shilpa A Khatavkar
- Credential
- d.d.s.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2007
- Last updated
- Jul 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 48131 | CA | Yes |
Practice location
3500 Mowry AveSuite A
Fremont, CA 94538-1409
Phone 510-796-1499 · Fax 510-796-1498
Mailing address
3500 Mowry AveSuite A
Fremont, CA 94538-1409
Phone 510-796-1499 · Fax 510-796-1498
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