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1912096538
PAVITHRA KERAGOD CHANNEGOWDA
FREMONT, CA
NPI
1912096538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL 50576)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- PAVITHRA KERAGOD CHANNEGOWDA DDS
39340 FREMONT BLVD
FREMONT, CA 94538-1320
Phone number: 510-739-3889
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Mailing Address
-- PAVITHRA KERAGOD CHANNEGOWDA DDS
34158 KASPAR TER
FREMONT, CA 94555-2999
Phone number: 510-724-2893
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