Healthcare Provider Details

I. General information

NPI: 1376128769
Provider Name (Legal Business Name): SHARMINA HUSNAIN CHOWDHURY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5791 WALTON RD.
RICHMOND BC
V7C2L8
CA

IV. Provider business mailing address

5791 WALTON RD.
RICHMOND BC
V7C2L8
CA

V. Phone/Fax

Practice location:
  • Phone: 604-277-7040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN19857
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: