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Contact Information

CLARA N ANDIRIOUS, DDS
6472 CAMDEN AVE.
SUITE 100
SAN JOSE, CA95120
 Phone: 408-997-9027
 Fax: 408-997-7852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CLARA N ANDIRIOUS · (Female)

NPI Number 1053472365
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/12/2006
Last updated 01/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 51545
  • CA Medicaid G93394-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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