SOUMYA SHIVANNA

SAN JOSE, CA
NPI1598936676
Professional NameSOUMYA SHIVANNA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  55657)
Enumeration Date2008-03-18
Last Update Date2016-03-31
Business Address
Dr. SOUMYA SHIVANNA DDS
1620 E.CAPITOL EXPRESSWAY SUITE C
SAN JOSE, CA 95121
Phone number: 408-223-6017
Mailing Address
Dr. SOUMYA SHIVANNA DDS
1620 E. CAPITOL EXPRESSWAY, SUITE C EVERGREEN FAMILY DENTAL GROUP
SAN JOSE, CA 95121
Phone number: 408-223-6017
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