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General NPI Number Information
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NPI Number | 1831343250
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Entity Type | Individual
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Provider Name | SHEILA VINOD PATWARDHAN DMD
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Gender | Female
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 02/20/2012
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Provider Practice Location Address
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Address Line | 2480 MISSION ST SUITE 333
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2468
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Country | US
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Telephone | 626-676-0370
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Fax |
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Provider Business Mailing Address
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Address Line | 777 AUTUMN DR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-4352
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Country | US
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Telephone | 626-676-0370
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 60694
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License Number State | CA
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