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Organization
PATTANAYAK DENTAL CORP
Active
Organization
PATTANAYAK DENTAL CORP
Active
Other names
Patt dental care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRANATEE PATTANAYAK DDS (PRESIDENT)
(720) 212-3414
Entity
Organization
Contact information
Practice address
1400 SANTA RITA RD, #C, PLEASANTON, CA 94566-5666
(925) 485-9595
(925) 485-9590
Mailing address
1400 SANTA RITA RD STE C, PLEASANTON, CA 94566-5663
(925) 485-9595
(925) 485-9590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59207
CA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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