Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dentist

Organization Prosthodontics · NPI 1588030480

Dentist is a Prosthodontics in Fremont, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

39038 Sutter Dr
Fremont, CA 94538-1141
Phone: (510) 709-7181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 61629 (CA)

Record details

NPI number1588030480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Au — Dentist · (510) 709-7181
NPI enumeratedAugust 13, 2015
Last updated in NPPESAugust 13, 2015
Mailing address39038 Sutter Dr, Fremont, CA 94538-1141

Other providers in Fremont