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1134297963
DIVYA AMBARISH PATHAK
LOS ANGELES, CA
NPI
1134297963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 32930)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
-- DIVYA AMBARISH PATHAK DDS
3756 SANTA ROSALIA DR SUITE 227
LOS ANGELES, CA 90008-3616
Phone number: 323-292-7124
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Mailing Address
-- DIVYA AMBARISH PATHAK DDS
19319 BECHARD AVE
CERRITOS, CA 90703-7208
Phone number: 562-402-9437
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