Healthcare Provider Details

I. General information

NPI: 1669377644
Provider Name (Legal Business Name): NOVO FAMILY DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2420 SAN RAMON VALLEY BLVD
SAN RAMON CA
94583-1602
US

IV. Provider business mailing address

5250 PEMBROKE WAY
SAN RAMON CA
94582-5926
US

V. Phone/Fax

Practice location:
  • Phone: 425-628-7927
  • Fax:
Mailing address:
  • Phone: 425-628-7927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL

VIII. Authorized Official

Name: NAINA ARORA
Title or Position: DENTIST
Credential:
Phone: 425-628-7927