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1013340405
PADMALATHA GOTTIPATI
PONTE VEDRA BEACH, FL
NPI
1013340405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN20374)
Enumeration Date
2013-08-21
Last Update Date
2013-10-25
Business Address
Dr. PADMALATHA GOTTIPATI DDS
13 ARBOR CLUB DR UNIT 103
PONTE VEDRA BEACH, FL 32082-2615
Phone number: 904-993-4533
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Mailing Address
Dr. PADMALATHA GOTTIPATI DDS
13 ARBOR CLUB DR UNIT 103
PONTE VEDRA BEACH, FL 32082-2615
Phone number: 904-993-4533
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