Dr. Shanti Gopalan
Pediatric Dentist
13347 Entreken Ave
San Diego
, California 92129-2353
Dr. Shanti Gopalan
Pediatric Dentist
13347 Entreken Ave
San Diego
, California 92129-2353
(858) 740-6977
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Shanti Gopalan
- 13347 Entreken Ave
- San Diego, CA
- Zip : 92129-2353
- Phone : (858) 740-6977
Second Address
- Dr. Shanti Gopalan
- 13347 Entreken Ave
- San Diego, CA
- Zip : 92129-2353
- Phone : (858) 740-6977
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Is Dr. Shanti Gopalan a sole practitioner?
Is Dr. Shanti Gopalan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 55853 | CA |
National Provider Identifier
| NPI | 1003953936 |
|---|---|
| Provider Name | Dr. Shanti Gopalan |
| First Address | San Diego, CA 92129-2353 |
| Second Address | San Diego, CA 92129-2353 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2007 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D7103 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.