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1215509245
SHREYA PENUKONDA
LIVERMORE, CA
NPI
1215509245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 106437)
Enumeration Date
2021-07-09
Last Update Date
2021-07-09
Business Address
SHREYA PENUKONDA
125 MISTY CIR
LIVERMORE, CA 94550-2536
Phone number: 510-862-8368
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Mailing Address
SHREYA PENUKONDA
125 MISTY CIR
LIVERMORE, CA 94550-2536
Phone number: 510-862-8368
Copy
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