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1568519650
SHANTALA GOWDA
VIRGINIA BEACH, VA
NPI
1568519650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 541672158)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
Dr. SHANTALA GOWDA
397 LITTLE NECK RD BLDG. 3400 STE. 101
VIRGINIA BEACH, VA 23452-5765
Phone number: 757-498-5142
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Mailing Address
Dr. SHANTALA GOWDA
397 LITTLE NECK ROAD B LDG. 3400 STE. 101
VIRGINIA BEACH, VA 23452
Phone number: 757-498-5142
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