=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003084740
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YUKARI T JAIN D.D.S, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/15/2008
-----------------------------------------------------
Last Update Date | 02/15/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 860 E REMINGTON DR SUITE D
-----------------------------------------------------
City | SUNNYVALE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94087-2995
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-481-0555
-----------------------------------------------------
Fax | 408-481-0551
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 860 E REMINGTON DR SUITE D
-----------------------------------------------------
City | SUNNYVALE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94087-2995
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-481-0555
-----------------------------------------------------
Fax | 408-481-0551
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS MANAGER
-----------------------------------------------------
Name | HEMANT SAWHNEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 408-481-0555
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------