Healthcare Provider Details

I. General information

NPI: 1780835546
Provider Name (Legal Business Name): SARITA OJHA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2008
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36416 FREMONT BLVD
FREMONT CA
94536-7436
US

IV. Provider business mailing address

3247 PINOT BLANC WAY
SAN JOSE CA
95135-1141
US

V. Phone/Fax

Practice location:
  • Phone: 510-739-3889
  • Fax:
Mailing address:
  • Phone: 408-705-7603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number57646
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: