Provider Demographics
NPI:1730869108
Name:MUCHANDI, SNEHA GAJANAN (DDS)
Entity type:Individual
Prefix:DR
First Name:SNEHA
Middle Name:GAJANAN
Last Name:MUCHANDI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 ST PATRICK WAY APT 557
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-4887
Mailing Address - Country:US
Mailing Address - Phone:916-547-3583
Mailing Address - Fax:
Practice Address - Street 1:3600 DELTA FAIR BLVD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4006
Practice Address - Country:US
Practice Address - Phone:925-428-5820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108989122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist