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1164287710
DIVYA PEDDIREDDY DENTAL CORPORATION
COSTA MESA, CA
NPI
1164287710
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Entity Type
Organization
Authorized Contact
DIVYA PEDDIREDDY
Sole Owner
562-650-8076
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
DIVYA PEDDIREDDY DENTAL CORPORATION
3070 BRISTOL ST STE 180
COSTA MESA, CA 92626-3072
Phone number: 714-924-4824
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Mailing Address
DIVYA PEDDIREDDY DENTAL CORPORATION
3070 BRISTOL ST STE 180
COSTA MESA, CA 92626-3072
Phone number:
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