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Dr. Anisha Krishnan Thondukolam, DDS
Periodontist in San Ramon, California
NPI 1609109768

Anisha Krishnan Thondukolam is a Periodontist based in San Ramon, CA and is specialized in Periodontics. Anisha Krishnan Thondukolam practices in San Ramon, CA and has the professional credentials of DDS. The NPI Number for Anisha Krishnan Thondukolam is 1609109768 and holds a License No. 62123 (California).

The current practice location address for Anisha Krishnan Thondukolam is 591 Fallen Leaf Cir, San Ramon, CA and can be reached out via phone at 510-604-5776.

Location: 591 Fallen Leaf Cir, San Ramon, CA, 94583-5305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609109768
Provider Name
Anisha Krishnan Thondukolam
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
591 Fallen Leaf Cir, San Ramon, CA, 94583-5305
Phone Number
510-604-5776
Fax Number
Provider Enumeration Date
09/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
591 Fallen Leaf Cir
City
San Ramon
State
California
Zip
94583-5305
Phone Number
510-604-5776
Fax Number
person
Provider Business Mailing Address Details
Address
591 Fallen Leaf Cir
City
San Ramon
State
California
Zip
94583-5305
Phone Number
510-604-5776
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
62123 (California)
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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