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Organization
NAVTEJ S TATLA DDS INC
Active
Organization
NAVTEJ S TATLA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVTEJ S TATLA DDS (PRESIDENT)
(530) 891-1674
Entity
Organization
Contact information
Practice address
1046 MANGROVE AVE, SUITE-D, CHICO, CA 95926-3548
(530) 891-1674
(530) 343-5757
Mailing address
1046 MANGROVE AVE, SUITE-D, CHICO, CA 95926-3548
(530) 891-1674
(530) 343-5757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50830
STATE DENTAL LISENCE
CA
Enumeration date
03/07/2010
Last updated
03/07/2010
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