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Organization
PATHAK-PAUDEL DENTAL PC
Active
Organization
PATHAK-PAUDEL DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ICHHYA PATHAK-PAUDEL (OWNER)
(831) 902-2829
Entity
Organization
Contact information
Practice address
1210 E PARK ST STE 106, HOLLISTER, CA 95023-5317
(831) 902-2829
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
06/20/2023
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