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Logesh Swayamprakasam
Periodontist in San Jose, California
NPI 1215262225

Logesh Swayamprakasam is a Periodontist based in Fremont, CA and is specialized in Periodontics. Logesh Swayamprakasam practices in San Jose, CA. The NPI Number for Logesh Swayamprakasam is 1215262225 and holds a License No. 30-023111 (California).

The current practice location address for Logesh Swayamprakasam is 1761 E Capitol Expy, San Jose, CA and can be reached out via phone at 408-484-3891.

Location: 1761 E Capitol Expy, San Jose, CA, 94538-1148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215262225
Provider Name
Logesh Swayamprakasam
Credential
Provider Entity Type
Individual
Gender
Male
Address
1761 E Capitol Expy, San Jose, CA, 94538-1148
Phone Number
408-484-3891
Fax Number
Provider Enumeration Date
10/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1761 E Capitol Expy
City
San Jose
State
California
Zip
95121-1561
Phone Number
408-484-3891
Fax Number
person
Provider Business Mailing Address Details
Address
1761 E Capitol Expy
City
San Jose
State
California
Zip
95121-1561
Phone Number
408-484-3891
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
30-023111 (Ohio)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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