Search › California › 1223G0001X
Surya Manga Achyuta, DDS
NPI 1598851693 · on the registry since 2006
Practice
- Address
- 1372 N Mcdowell Blvd Ste B1
Petaluma, CA 94954 - Phone
- (707) 778-9993
- Fax
- (707) 200-2146
- Organisation at this address
- Suryamanga.D.Achyuta,Dds,Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California