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1982155834
SUSHMA MANGALAVARAPET KANTHARAJU
STOCKTON, CA
NPI
1982155834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA DDS100731)
Enumeration Date
2016-10-16
Last Update Date
2016-10-16
Business Address
SUSHMA MANGALAVARAPET KANTHARAJU D.D.S
4053 E MORADA LN
STOCKTON, CA 95212-1608
Phone number: 209-478-6000
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Mailing Address
SUSHMA MANGALAVARAPET KANTHARAJU D.D.S
4053 E MORADA LN
STOCKTON, CA 95212-1608
Phone number: 209-478-6000
Copy
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