Healthcare Provider Details

I. General information

NPI: 1942725205
Provider Name (Legal Business Name): AADITI MUJUMDAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2017
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 EL CAMINO REAL APT 3224
SANTA CLARA CA
95051-2967
US

IV. Provider business mailing address

3710 EL CAMINO REAL APT 3224
SANTA CLARA CA
95051-2967
US

V. Phone/Fax

Practice location:
  • Phone: 608-556-3417
  • Fax:
Mailing address:
  • Phone: 608-556-3417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number101610
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: