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Individual
PRIYANKA TATINI
Active
Individual
PRIYANKA TATINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS09456
IA
1223G0001X
General Practice Dentistry
Primary
35900
TX
Other
Enumeration date
07/07/2017
Last updated
02/04/2020
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