Provider Demographics
NPI:1033269659
Name:AMIN, URMI (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:URMI
Middle Name:
Last Name:AMIN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 SAN CARLOS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-2138
Mailing Address - Country:US
Mailing Address - Phone:650-596-8045
Mailing Address - Fax:650-596-8074
Practice Address - Street 1:1512 SAN CARLOS AVE
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-2138
Practice Address - Country:US
Practice Address - Phone:650-596-8045
Practice Address - Fax:650-596-8074
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA389571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry