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Organization
LADERA RANCH MODERN DENTISTRY, PROF. CORP
Active
Organization
LADERA RANCH MODERN DENTISTRY, PROF. CORP
Active
Other names
Ladera Ranch Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPIKA DHAMA DDS (OWNER)
(949) 354-5268
Entity
Organization
Contact information
Practice address
27702 CROWN VALLEY PKWY STE A4, LADERA RANCH, CA 92694-0609
(949) 354-5268
(949) 347-5883
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
Other
Enumeration date
10/05/2026
Last updated
10/05/2026
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