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Organization
KIRAN S TRIVEDI
Active
Organization
KIRAN S TRIVEDI
Active
Other names
azusa family dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRAN S TRIVEDI DDS (OWNER DENTIST)
(626) 969-7777
Entity
Organization
Contact information
Practice address
958 E ALOSTA AVE, AZUSA, CA 91702-2709
(626) 969-7777
(626) 969-9075
Mailing address
958 E ALOSTA AVE, AZUSA, CA 91702-2709
(626) 969-7777
(626) 969-9075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
B39489
CA
Other
Enumeration date
05/06/2007
Last updated
07/10/2008
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