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Organization
KANTHI J APPANNAGARI PROFESSIONAL DENTAL CORPORATION
Active
Organization
KANTHI J APPANNAGARI PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANTHI J APPANNAGARI DDS (OWNER)
(714) 371-0776
Entity
Organization
Contact information
Practice address
17400 IRVINE BLVD STE E, TUSTIN, CA 92780-3030
(714) 371-0776
(714) 371-0179
Mailing address
17400 IRVINE BLVD STE E, TUSTIN, CA 92780-3030
(714) 371-0776
(714) 371-0179
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
02/22/2022
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