Healthcare Provider Details

I. General information

NPI: 1376081331
Provider Name (Legal Business Name): DR TIRUVUR DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20480 BLAUER DR STE A
SARATOGA CA
95070-4371
US

IV. Provider business mailing address

20480 BLAUER DR STE A
SARATOGA CA
95070-4371
US

V. Phone/Fax

Practice location:
  • Phone: 408-446-1289
  • Fax: 408-446-2086
Mailing address:
  • Phone: 408-446-1289
  • Fax: 408-446-2086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ARATHI R TIRUVUR
Title or Position: OWNER
Credential:
Phone: 408-446-1289