Provider Demographics
NPI:1699843680
Name:JHAMB, HEMA (DDS)
Entity type:Individual
Prefix:
First Name:HEMA
Middle Name:
Last Name:JHAMB
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 1:320 DARDANELLI LN
Mailing Address - Street 2:12
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1440
Mailing Address - Country:US
Mailing Address - Phone:408-370-0400
Mailing Address - Fax:408-370-0401
Practice Address - Street 1:320 DARDANELLI LN
Practice Address - Street 2:12
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1440
Practice Address - Country:US
Practice Address - Phone:408-370-0400
Practice Address - Fax:408-370-0401
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2014-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA502771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice