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1649317603
USHA MANTENA
FAIRFIELD, CA
NPI
1649317603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 46110)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
Miss USHA MANTENA D.M.D.
2440 N TEXAS ST
FAIRFIELD, CA 94533-1602
Phone number: 707-422-4696
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Mailing Address
Miss USHA MANTENA D.M.D.
2440 N TEXAS ST
FAIRFIELD, CA 94533-1602
Phone number: 707-422-4696
Copy
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