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Organization
DALLA PEDIATRIC DENTAL INC
Active
Organization
DALLA PEDIATRIC DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVAN DALLA DDS (PRESIDENT/OWNER)
(646) 427-6519
Entity
Organization
Contact information
Practice address
917 TRANCAS ST STE B, NAPA, CA 94558-2903
(707) 226-5559
Mailing address
3108 E PINTAIL WAY, ELK GROVE, CA 95757-8206
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
63130
CA
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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