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Organization
PRAKASH KATBAMNA DENTAL CORP.
Active
Organization
PRAKASH KATBAMNA DENTAL CORP.
Active
Other names
noble dental office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH AMRATLAL KATBAMNA D.D.S. (PRESIDENT)
(626) 969-1116
Entity
Organization
Contact information
Practice address
590 E FOOTHILL BLVD, AZUSA, CA 91702-2542
(626) 969-1116
(626) 969-0737
Mailing address
590 E FOOTHILL BLVD, AZUSA, CA 91702-2542
(626) 969-1116
(626) 969-0737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49557
CA
Other
Enumeration date
03/07/2007
Last updated
10/03/2013
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