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Organization
SIDDHI ANITHA PRASANNA PA
Active
Organization
SIDDHI ANITHA PRASANNA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITHA PRASANNA DMD (DENTIST)
(321) 268-0108
Entity
Organization
Contact information
Practice address
815 CHENEY HWY, TITUSVILLE, FL 32780-6960
(321) 268-0108
(321) 269-6033
Mailing address
815 CHENEY HWY, TITUSVILLE, FL 32780-6960
(321) 268-0108
(321) 269-6033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DNI6818
FL
Other
Enumeration date
09/15/2011
Last updated
09/20/2011
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