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Organization

LISA CANNATELLA, DDS AND PRIYANKA MOONKA, DDS, INC

Active
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Organization

LISA CANNATELLA, DDS AND PRIYANKA MOONKA, DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KRIS WILLIAMS (PROJECT MANAGER)
(925) 828-5335
Entity
Organization

Contact information

Practice address
9301 FIRCREST LN STE 7, SAN RAMON, CA 94583-3960
(925) 828-5335
(925) 829-6170
Mailing address
9301 FIRCREST LN STE 7, SAN RAMON, CA 94583-3960
(925) 828-5335
(925) 829-6170

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
35603
CA
122300000X
Dentist
Primary
41261
CA
122300000X
Dentist
54869
CA

Other

Enumeration date
03/24/2017
Last updated
03/24/2017
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