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1265911622
DIVAKAR PRAKASH
TURLOCK, CA
NPI
1265911622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 102866)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
DIVAKAR PRAKASH
2808 W MONTE VISTA AVE
TURLOCK, CA 95380-8409
Phone number: 415-316-5396
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Mailing Address
DIVAKAR PRAKASH
400 CLEMENTINA ST APT 408
SAN FRANCISCO, CA 94103-4254
Phone number: 415-316-5396
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