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1932376779
SIVA PRAKASH KOLLA
BELLEVUE, WA
NPI
1932376779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE60606397)
Enumeration Date
2008-05-12
Last Update Date
2023-07-17
Business Address
SIVA PRAKASH KOLLA DDS
16657 NORTHUP WAY
BELLEVUE, WA 98008-3045
Phone number: 724-393-2069
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Mailing Address
SIVA PRAKASH KOLLA DDS
8316 W BURROUGHS RD
DEER PARK, WA 99006-9764
Phone number: 425-628-5353
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